THEODORE SHELLY ASHBELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

CANCELLED

Business

Title

First Name

THEODORE

Middle

SHELLY

Last Name

ASHBELL

Business Name

THEODORE SHELLY ASHBELL MD

Original Issue Date

01/01/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PINECREST

State

Zip

33156

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011