SCOTT MICHAEL HARBICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

SCOTT MICHAEL

Last Name

HARBICK

Business Name

SCOTT MICHAEL HARBICK

Original Issue Date

10/22/1997

Effective Date

07/24/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011