STEPHEN M SCOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090739

License Status

NOT RENEWED

Business

First Name

STEPHEN M

Last Name

SCOTT

Suffix

Business Name

STEPHEN M SCOTT MD

Original Issue Date

05/23/1995

Effective Date

05/23/1995

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006