MARK D SCOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

SCOTT

Suffix

Business Name

MARK D SCOTT MD

Original Issue Date

06/12/1992

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023