SCOTT D ANDERSON - Medical Doctor License in Illinois | # 036099423

SCOTT D ANDERSON

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099423

License Status

INACTIVE

Business

N

First Name

SCOTT D

Last Name

ANDERSON

Business Name

SCOTT D ANDERSON

Original Issue Date

12/28/1998

Effective Date

12/28/1998

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006