SCOTT D ANDERSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

SCOTT D

Last Name

ANDERSON

Business Name

SCOTT D ANDERSON

Original Issue Date

04/19/1999

Effective Date

04/19/1999

Expiration Date

07/31/2002

City

TROY

State

Zip

62294

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006