SCOTT W BYRAM - Medical Doctor License in Illinois | # 125047288

SCOTT W BYRAM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047288

License Status

EXPIRED

Business

N

First Name

SCOTT

Middle

W

Last Name

BYRAM

Business Name

SCOTT W BYRAM

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

07/03/2007