SCOTT S MACGILVRAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

CANCELLED

Business

First Name

SCOTT S

Last Name

MACGILVRAY

Suffix

Business Name

SCOTT S MACGILVRAY MD

Original Issue Date

02/24/1989

Effective Date

02/24/1989

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006