PAMELA MARIE DESELM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041100

License Status

CANCELLED

Business

First Name

PAMELA

Middle

MARIE

Last Name

DESELM

Suffix

Business Name

PAMELA MARIE DESELM MD

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

06/30/2003

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006