BENJAMIN ROSS SELDEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

ROSS

Last Name

SELDEN

Suffix

DDS

Business Name

BENJAMIN ROSS SELDEN DDS

Original Issue Date

04/20/2016

Effective Date

12/20/2018

Expiration Date

01/31/2022

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022