SCOTT D ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034619

License Status

EXPIRED

Business

First Name

SCOTT D

Last Name

ANDERSON

Business Name

SCOTT D ANDERSON

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/20/1997

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

09/22/2006