PHILIP SALSTROM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

PHILIP

Last Name

SALSTROM

Business Name

PHILIP SALSTROM MD

Original Issue Date

07/02/2021

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

ROCHELLE

State

Zip

61068

County

OGLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/12/2023