SCOTT D ROBERTSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031239

License Status

EXPIRED

Business

First Name

SCOTT

Middle

Last Name

ROBERTSON

Business Name

SCOTT D ROBERTSON

Original Issue Date

05/18/1994

Effective Date

05/18/1994

Expiration Date

06/30/1997

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006