ANTOINETTE RENEE SALLAMME MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

ANTOINETTE

Middle

RENEE

Last Name

SALLAMME

Suffix

Business Name

ANTOINETTE RENEE SALLAMME MD

Original Issue Date

12/04/2001

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023