JUSTIN LEE SCOPEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055484

License Status

CANCELLED

Business

First Name

JUSTIN

Middle

LEE

Last Name

SCOPEL

Suffix

Business Name

JUSTIN LEE SCOPEL MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

06/27/2008