SCOTT M DALE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037502

License Status

CANCELLED

Business

First Name

SCOTT

Middle

Last Name

DALE

Business Name

SCOTT M DALE

Original Issue Date

06/27/1998

Effective Date

06/27/1998

Expiration Date

06/26/2002

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006