DAVID JOHN SHELLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158583

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

JOHN

Last Name

SHELLEY

Business Name

DAVID JOHN SHELLEY MD

Original Issue Date

10/23/2021

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

POCATELLO

State

Zip

83201

Ever Disciplined

LastModifiedDate

05/20/2023