BRIAN SCOTT BOE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

BRIAN SCOTT

Last Name

BOE

Suffix

Business Name

BRIAN SCOTT BOE MD

Original Issue Date

06/25/1993

Effective Date

06/25/1993

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020