KIMBERLY SUE SCANLON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030913

License Status

EXPIRED

Business

First Name

KIMBERLY SUE

Last Name

SCANLON

Suffix

Business Name

KIMBERLY SUE SCANLON DO

Original Issue Date

04/30/1994

Effective Date

04/30/1994

Expiration Date

06/20/1997

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006