RENE CHALOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

RENE

Last Name

CHALOM

Business Name

RENE CHALOM MD

Original Issue Date

05/16/2008

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

LIVINGSTON

State

Zip

07039

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021