JOHN GREGORY SELGESTAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

JOHN GREGORY

Last Name

SELGESTAD

Suffix

Business Name

JOHN GREGORY SELGESTAD MD

Original Issue Date

01/01/1997

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023