SELENE CLARISSA KOO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137683

License Status

NOT RENEWED

Business

Title

First Name

SELENE

Middle

CLARISSA

Last Name

KOO

Business Name

SELENE CLARISSA KOO MD

Original Issue Date

03/30/2015

Effective Date

03/30/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017