JEFFREY ALLEN SCOTT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

JEFFREY ALLEN

Last Name

SCOTT

Business Name

JEFFREY ALLEN SCOTT

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005