RICHARD A SELO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068627

License Status

INACTIVE

Business

First Name

RICHARD A

Last Name

SELO

Suffix

Business Name

RICHARD A SELO MD

Original Issue Date

05/03/1984

Effective Date

05/03/1984

Expiration Date

07/31/1990

City

LAFAYETTE

State

Zip

47904

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006