DAVID MICHAEL SCOLLARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060269

License Status

NOT RENEWED

Business

First Name

DAVID MICHAEL

Last Name

SCOLLARD

Suffix

Business Name

DAVID MICHAEL SCOLLARD MD

Original Issue Date

05/01/1980

Effective Date

05/01/1980

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60680

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006