BRENT L SCOTT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

CANCELLED

Business

First Name

BRENT L

Last Name

SCOTT

Suffix

Business Name

BRENT L SCOTT MD

Original Issue Date

07/30/1992

Effective Date

07/30/1992

Expiration Date

07/31/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006