SCOTT DONALD MARIOUW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063079

License Status

EXPIRED

Business

First Name

SCOTT

Middle

DONALD

Last Name

MARIOUW

Suffix

Business Name

SCOTT DONALD MARIOUW MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/19/2017