CHELSEA MARIE SELF MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065986

License Status

EXPIRED

Business

Title

First Name

CHELSEA

Middle

MARIE

Last Name

SELF

Business Name

CHELSEA MARIE SELF MD

Original Issue Date

06/30/2014

Effective Date

06/30/2014

Expiration Date

06/29/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/19/2017