SCOTT D ANDERSON - Medical Doctor License in Illinois | # 125034619

SCOTT D ANDERSON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034619

License Status

EXPIRED

Business

N

First Name

SCOTT D

Last Name

ANDERSON

Business Name

SCOTT D ANDERSON

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/20/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006