MARY W SALEH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

SALEH

Business Name

MARY W SALEH

Original Issue Date

02/24/2022

Effective Date

02/24/2022

Expiration Date

07/31/2023

City

DANVILLE

State

Zip

61832

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023