CORIE LOUISE SEELBACH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

CORIE

Middle

LOUISE

Last Name

SEELBACH

Business Name

CORIE LOUISE SEELBACH DO

Original Issue Date

08/24/2018

Effective Date

08/24/2018

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021