JASON SCOTT SO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

JASON

Middle

SCOTT

Last Name

Suffix

Business Name

JASON SCOTT SO DO

Original Issue Date

01/04/2008

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023