BENJAMIN ROSS SELDEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

ROSS

Last Name

SELDEN

Suffix

DDS

Business Name

BENJAMIN ROSS SELDEN DDS

Original Issue Date

06/28/2022

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024