SCOTT M KAGAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034612

License Status

CANCELLED

Business

First Name

SCOTT

Middle

Last Name

KAGAN

Business Name

SCOTT M KAGAN

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006