SCOTT ALLEN ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131720

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

ALLEN

Last Name

ANDERSON

Business Name

SCOTT ALLEN ANDERSON MD

Original Issue Date

11/13/2012

Effective Date

11/13/2012

Expiration Date

07/31/2014

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014