SCOTT EVAN MINTZER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

EVAN

Last Name

MINTZER

Business Name

SCOTT EVAN MINTZER

Original Issue Date

05/23/2001

Effective Date

05/23/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006