CHANTAL SALIM LUTFALLAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092437

License Status

NOT RENEWED

Business

First Name

CHANTAL SALIM

Last Name

LUTFALLAH

Suffix

Business Name

CHANTAL SALIM LUTFALLAH MD

Original Issue Date

02/23/1996

Effective Date

02/23/1996

Expiration Date

07/31/2005

City

BATON ROUGE

State

Zip

70809

Ever Disciplined

LastModifiedDate

10/09/2006