SCOTT W DONOVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068799

License Status

NOT RENEWED

Business

First Name

SCOTT W

Last Name

DONOVAN

Suffix

Business Name

SCOTT W DONOVAN MD

Original Issue Date

06/14/1984

Effective Date

06/14/1984

Expiration Date

07/31/1999

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006