ELISA M SCOTT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035703

License Status

EXPIRED

Business

First Name

ELISA

Middle

Last Name

SCOTT

Suffix

Business Name

ELISA M SCOTT MD

Original Issue Date

04/29/1997

Effective Date

04/29/1997

Expiration Date

06/30/2000

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006