KENNETH E SCOPE - Medical Doctor License in Illinois | # 125035395

KENNETH E SCOPE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035395

License Status

EXPIRED

Business

N

First Name

KENNETH

Middle

E

Last Name

SCOPE

Business Name

KENNETH E SCOPE

Original Issue Date

07/16/1996

Effective Date

07/16/1996

Expiration Date

08/26/2001

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006