LISSETTE SELEM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025769

License Status

EXPIRED

Business

Title

First Name

LISSETTE

Last Name

SELEM

Business Name

LISSETTE SELEM MD

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006