ELIAS SALIM KHAZOUM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

Title

First Name

ELIAS

Middle

SALIM

Last Name

KHAZOUM

Business Name

ELIAS SALIM KHAZOUM DO

Original Issue Date

08/15/2023

Effective Date

08/15/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2023