RUSSELL CARTER SCOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038847

License Status

NOT RENEWED

Business

First Name

RUSSELL CARTER

Last Name

SCOTT

Suffix

Business Name

RUSSELL CARTER SCOTT MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

Expiration Date

07/31/1999

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

09/20/2006