SUSAN M SELBACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087338

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

SELBACH

Suffix

Business Name

SUSAN M SELBACH MD

Original Issue Date

08/30/1993

Effective Date

08/30/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006