NANCY JANE SELFRIDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061127

License Status

NOT RENEWED

Business

First Name

NANCY JANE

Last Name

SELFRIDGE

Suffix

Business Name

NANCY JANE SELFRIDGE MD

Original Issue Date

10/27/1980

Effective Date

10/27/1980

Expiration Date

07/01/1982

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006