VAN EDWARD SCOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110279

License Status

NOT RENEWED

Business

First Name

VAN

Middle

EDWARD

Last Name

SCOTT

Suffix

Business Name

VAN EDWARD SCOTT MD

Original Issue Date

10/10/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MUSKEGON HEIGHTS

State

Zip

49444

Ever Disciplined

LastModifiedDate

11/14/2011

Case Number

2010004047

Action

Suspension

Discipline Start Date

09/08/2010

Discipline Reason

after being disciplined in the state of Pennsylvania.