JASON SCOTT SO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049293

License Status

EXPIRED

Business

First Name

JASON

Middle

SCOTT

Last Name

Suffix

Business Name

JASON SCOTT SO DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008