GRACE ANTOINE SALAME MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

GRACE

Middle

ANTOINE

Last Name

SALAME

Business Name

GRACE ANTOINE SALAME MD

Original Issue Date

03/16/2015

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023