SCOTT ALLEN ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

ALLEN

Last Name

ANDERSON

Business Name

SCOTT ALLEN ANDERSON MD

Original Issue Date

11/13/2012

Effective Date

11/13/2012

Expiration Date

07/31/2014

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014