SCOTT ELLIOTT PREUSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038199

License Status

EXPIRED

Business

Title

First Name

SCOTT

Middle

ELLIOTT

Last Name

PREUSEN

Business Name

SCOTT ELLIOTT PREUSEN MD

Original Issue Date

06/27/1998

Effective Date

06/27/1998

Expiration Date

06/26/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006