KENNETH G SELKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

KENNETH G

Last Name

SELKE

Suffix

Business Name

KENNETH G SELKE MD

Original Issue Date

07/31/2017

Effective Date

07/31/2017

Expiration Date

09/30/2020

City

GREENVILLE

State

Zip

62246

County

BOND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021