SCOTT H GREENWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

GREENWALD

Suffix

Business Name

SCOTT H GREENWALD MD

Original Issue Date

09/16/2002

Effective Date

09/16/2002

Expiration Date

07/31/2005

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006