KEITH SHELBY NAUNHEIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

CANCELLED

Business

Title

First Name

KEITH SHELBY

Last Name

NAUNHEIM

Business Name

KEITH SHELBY NAUNHEIM MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

HERRIN

State

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011