JUSTIN SCOTT MICHAEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075943

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

SCOTT

Last Name

MICHAEL

Business Name

JUSTIN SCOTT MICHAEL MD

Original Issue Date

06/26/2026

Effective Date

06/26/2026

Expiration Date

06/25/2027

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

03/11/2026