SCOTT ALAN ANDERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

ALAN

Last Name

ANDERSON

Business Name

SCOTT ALAN ANDERSON DO

Original Issue Date

03/02/2017

Effective Date

03/02/2017

Expiration Date

07/31/2017

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017