MARK D SCOTT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023477

License Status

EXPIRED

Business

First Name

MARK D

Last Name

SCOTT

Suffix

Business Name

MARK D SCOTT MD

Original Issue Date

05/02/1989

Effective Date

05/02/1989

Expiration Date

07/01/1992

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006