PETER A SELZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024710

License Status

EXPIRED

Business

First Name

PETER A

Last Name

SELZ

Suffix

Business Name

PETER A SELZ MD

Original Issue Date

05/03/1990

Effective Date

05/03/1990

Expiration Date

06/30/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006