SCOTT IRA FIELDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057387

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

IRA

Last Name

FIELDS

Suffix

Business Name

SCOTT IRA FIELDS MD

Original Issue Date

08/21/1978

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

HORNELL

State

Zip

14843

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/17/2014