DAVID NATHAN SELANDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

CANCELLED

Business

First Name

DAVID

Middle

NATHAN

Last Name

SELANDER

Suffix

Business Name

DAVID NATHAN SELANDER MD

Original Issue Date

12/11/2008

Effective Date

12/11/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011