SCOTT JONATHAN CHAFFIN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088203

License Status

NOT RENEWED

Business

First Name

SCOTT JONATHAN

Last Name

CHAFFIN

Suffix

Business Name

SCOTT JONATHAN CHAFFIN DO

Original Issue Date

04/01/1994

Effective Date

04/01/1994

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/16/2007