TIMOTHY GERARD SCANLON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054694

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

GERARD

Last Name

SCANLON

Business Name

TIMOTHY GERARD SCANLON

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Cardiovascular Imaging

Ever Disciplined

LastModifiedDate

07/08/2010