SCOTT ALAN CASSIDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

ALAN

Last Name

CASSIDY

Business Name

SCOTT ALAN CASSIDY MD

Original Issue Date

12/16/2014

Effective Date

12/16/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017