ANTONY SCOTT WOLLASTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108246

License Status

ACTIVE

Business

First Name

ANTONY

Middle

SCOTT

Last Name

WOLLASTON

Suffix

Business Name

ANTONY SCOTT WOLLASTON MD

Original Issue Date

12/03/2002

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/25/2023