SAMUEL A SALAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

SAMUEL A

Last Name

SALAMA

Suffix

Business Name

SAMUEL A SALAMA MD

Original Issue Date

02/22/1982

Effective Date

02/22/1982

Expiration Date

07/31/1987

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006