QUINN M SCALLON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103247

License Status

NOT RENEWED

Business

First Name

QUINN

Middle

Last Name

SCALLON

Suffix

Business Name

QUINN M SCALLON MD

Original Issue Date

08/10/2000

Effective Date

08/10/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006