SCOTT M DALE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105967

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

DALE

Business Name

SCOTT M DALE

Original Issue Date

12/11/2001

Effective Date

12/11/2001

Expiration Date

07/31/2005

City

FLAGSTAFF

State

Zip

86001

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/13/2015