SCOTT JONATHAN CHAFFIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020245

License Status

EXPIRED

Business

First Name

SCOTT JONATHAN

Last Name

CHAFFIN

Suffix

Business Name

SCOTT JONATHAN CHAFFIN DO

Original Issue Date

08/22/1986

Effective Date

08/22/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006