NATHAN A SCOTT III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059730

License Status

NOT RENEWED

Business

First Name

NATHAN A

Last Name

SCOTT III

Suffix

Business Name

NATHAN A SCOTT III MD

Original Issue Date

11/09/1979

Effective Date

11/09/1979

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006