SCOTT ERIC WILEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

SCOTT ERIC

Last Name

WILEY

Suffix

Business Name

SCOTT ERIC WILEY MD

Original Issue Date

08/19/1983

Effective Date

08/19/1983

Expiration Date

07/31/1996

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017