SCOTT G POWLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020640

License Status

EXPIRED

Business

First Name

SCOTT

Middle

Last Name

POWLEY

Suffix

Business Name

SCOTT G POWLEY MD

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

06/23/1991

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006