SCOTT IRELAND OTALLAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000384

License Status

EXPIRED

Business

Title

First Name

SCOTT

Middle

IRELAND

Last Name

OTALLAH

Business Name

SCOTT IRELAND OTALLAH MD

Original Issue Date

02/01/2010

Effective Date

02/01/2010

Expiration Date

07/31/2010

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/13/2010