SCOTT M MULTACK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016332

License Status

EXPIRED

Business

First Name

SCOTT M

Last Name

MULTACK

Suffix

Business Name

SCOTT M MULTACK DO

Original Issue Date

08/01/1983

Effective Date

08/01/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006