KIRBY J SCOTT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

KIRBY

Middle

Last Name

SCOTT

Business Name

KIRBY J SCOTT

Original Issue Date

11/21/2008

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

HAGERSTOWN

State

Zip

21740

County

MARYLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021