SCOTT A BODEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

BODEN

Suffix

Business Name

SCOTT A BODEN MD

Original Issue Date

07/10/2008

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011