SCOTT CONRAD LINCOLN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051372

License Status

CANCELLED

Business

First Name

SCOTT

Middle

CONRAD

Last Name

LINCOLN

Business Name

SCOTT CONRAD LINCOLN

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

WAUCONDA

State

Zip

60084

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006