SALIM GEORGE KHAZOUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

SALIM

Middle

GEORGE

Last Name

KHAZOUM

Suffix

Business Name

SALIM GEORGE KHAZOUM MD

Original Issue Date

03/25/2004

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023