RILEY HALSTEAD SELBY III DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060893

License Status

NOT RENEWED

Business

First Name

RILEY

Middle

HALSTEAD

Last Name

SELBY

Suffix

III DO

Business Name

RILEY HALSTEAD SELBY III DO

Original Issue Date

09/11/1980

Effective Date

04/11/2014

Expiration Date

07/31/2017

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017