SCOTT RICHARD DEBOER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065330

License Status

EXPIRED

Business

Title

First Name

SCOTT

Middle

RICHARD

Last Name

DEBOER

Business Name

SCOTT RICHARD DEBOER MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/25/2018