SCOTT JAY BULLARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028628

License Status

EXPIRED

Business

First Name

SCOTT JAY

Last Name

BULLARD

Suffix

Business Name

SCOTT JAY BULLARD MD

Original Issue Date

06/05/1992

Effective Date

06/05/1992

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006