JACK SELIM SALEH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

JACK SELIM

Last Name

SALEH

Suffix

Business Name

JACK SELIM SALEH MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006