SCOTT CULLEN BIRDWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000616

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

CULLEN

Last Name

BIRDWELL

Business Name

SCOTT CULLEN BIRDWELL MD

Original Issue Date

06/01/2015

Effective Date

06/01/2015

Expiration Date

11/30/2015

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

01/07/2016