SCOTT W DIVENERE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102299

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

DIVENERE

Suffix

Business Name

SCOTT W DIVENERE MD

Original Issue Date

04/10/2000

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

06/23/2023