JEFFREY WAYNE SELBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

WAYNE

Last Name

SELBY

Business Name

JEFFREY WAYNE SELBY MD

Original Issue Date

04/08/2010

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017