SCOTT R HOMANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

SCOTT R

Last Name

HOMANN

Suffix

Business Name

SCOTT R HOMANN MD

Original Issue Date

09/24/1984

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023