SCOTT WILLIAM GAGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113059

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

WILLIAM

Last Name

GAGE

Suffix

Business Name

SCOTT WILLIAM GAGE MD

Original Issue Date

02/09/2005

Effective Date

02/09/2005

Expiration Date

07/31/2005

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006