LOURDES M SELEM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026039

License Status

EXPIRED

Business

Title

First Name

LOURDES

Middle

Last Name

SELEM

Business Name

LOURDES M SELEM MD

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

09/19/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006