SCOTT BRIAN KANAGY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

CANCELLED

Business

First Name

SCOTT

Middle

BRIAN

Last Name

KANAGY

Suffix

Business Name

SCOTT BRIAN KANAGY DO

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

07/31/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006