CHARLESETTA SCOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

CHARLESETTA

Last Name

SCOTT

Business Name

CHARLESETTA SCOTT MD

Original Issue Date

01/07/2009

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

STREAMWOOD

State

Zip

60107

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014