NATALIE M SELK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053076

License Status

CANCELLED

Business

First Name

NATALIE

Middle

Last Name

SELK

Suffix

Business Name

NATALIE M SELK MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

EVERGREEN PARK

State

Zip

60805

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/17/2007