NADER N SALLAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

NADER

Middle

Last Name

SALLAM

Business Name

NADER N SALLAM MD

Original Issue Date

12/10/2023

Effective Date

12/10/2023

Expiration Date

07/31/2026

City

MEQUON

State

Zip

53097

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2023