KEITH W SCOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079510

License Status

NOT RENEWED

Business

First Name

KEITH W

Last Name

SCOTT

Suffix

Business Name

KEITH W SCOTT MD

Original Issue Date

10/31/1989

Effective Date

10/31/1989

Expiration Date

07/31/1996

City

AVON

State

Zip

06001

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

09/20/2006