SCOTT D ANDERSON Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099423

License Status

INACTIVE

Business

First Name

SCOTT D

Last Name

ANDERSON

Business Name

SCOTT D ANDERSON

Original Issue Date

12/28/1998

Effective Date

12/28/1998

Expiration Date

07/31/2005

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006