ROBERT SCOTT MAHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

SCOTT

Last Name

MAHAN

Suffix

Business Name

ROBERT SCOTT MAHAN MD

Original Issue Date

10/12/1990

Effective Date

10/12/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011