MARY S SCANLON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

MARY S

Last Name

SCANLON

Suffix

Business Name

MARY S SCANLON MD

Original Issue Date

06/25/1996

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020