JOHN RANDOLPH SCOTT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049840

License Status

INACTIVE

Business

First Name

JOHN RANDOLPH

Last Name

SCOTT

Suffix

Business Name

JOHN RANDOLPH SCOTT MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1987

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006