CAROLYN J SCOTT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029436

License Status

EXPIRED

Business

First Name

CAROLYN

Middle

Last Name

SCOTT

Business Name

CAROLYN J SCOTT

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/30/1998

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006