SCOTT B ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000268

License Status

EXPIRED

Business

First Name

SCOTT

Middle

Last Name

ANDERSON

Business Name

SCOTT B ANDERSON

Original Issue Date

02/03/1995

Effective Date

02/03/1995

Expiration Date

05/02/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/25/2006