SCOTT J WOLFE 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

SCOTT

Middle

Last Name

WOLFE

Suffix

Business Name

SCOTT J WOLFE MD

Original Issue Date

03/31/1999

Effective Date

03/31/1999

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006