SCOTT EVAN MINTZER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032646

License Status

EXPIRED

Business

First Name

SCOTT

Middle

EVAN

Last Name

MINTZER

Business Name

SCOTT EVAN MINTZER

Original Issue Date

05/24/1995

Effective Date

05/24/1995

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006