SCOTT L MOATS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

MOATS

Suffix

Business Name

SCOTT L MOATS MD

Original Issue Date

07/20/2000

Effective Date

10/05/2023

Expiration Date

07/31/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/05/2023