SCOTT JONATHAN CHAFFIN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

SCOTT JONATHAN

CHAFFIN

DO

SCOTT JONATHAN CHAFFIN DO

05/05/1994

05/05/1994

07/31/1999

ROCKFORD

IL

61109

WINNEBAGO

II III IV V

N

09/26/2006