ELIAS SALLOUM MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****39

NOT RENEWED

N

MD

ELIAS

SALLOUM

ELIAS SALLOUM MD

04/30/2015

04/30/2015

07/31/2017

CHICAGO

IL

60640

COOK

PRACTITIONER

II III IV V

N

11/01/2017