EARL D SCOTT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

CANCELLED

Business

First Name

EARL

Middle

Last Name

SCOTT

Suffix

Business Name

EARL D SCOTT MD

Original Issue Date

08/29/2001

Effective Date

08/29/2001

Expiration Date

07/31/2005

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006