SHADI SALLIT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136093

License Status

INACTIVE

Business

Title

First Name

SHADI

Last Name

SALLIT

Business Name

SHADI SALLIT MD

Original Issue Date

07/31/2014

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

STATEN ISLAND

State

Zip

10305

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/11/2017