SCOTT KAYLOR MAURY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001817

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

KAYLOR

Last Name

MAURY

Business Name

SCOTT KAYLOR MAURY

Original Issue Date

07/22/2002

Effective Date

07/22/2002

Expiration Date

03/01/2006

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006