SCOTT J PRIMACK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081085

License Status

NOT RENEWED

Business

First Name

SCOTT J

Last Name

PRIMACK

Suffix

Business Name

SCOTT J PRIMACK DO

Original Issue Date

07/20/1990

Effective Date

07/20/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006