SCOTT D ANDERSON Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

CANCELLED

Business

First Name

SCOTT D

Last Name

ANDERSON

Business Name

SCOTT D ANDERSON

Original Issue Date

02/09/2000

Effective Date

02/09/2000

Expiration Date

07/31/2005

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006