MOHAMAD S SHAHID SALLES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

MOHAMAD S

Last Name

SHAHID SALLES

Suffix

Business Name

MOHAMAD S SHAHID SALLES MD

Original Issue Date

10/17/1988

Effective Date

10/17/1988

Expiration Date

07/31/1990

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006