SCOTT DOUGLAS THOMPSON - Physician Assistant License in Illinois | # 085002436

SCOTT DOUGLAS THOMPSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002436

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

DOUGLAS

Last Name

THOMPSON

Business Name

SCOTT DOUGLAS THOMPSON

Original Issue Date

12/13/2004

Effective Date

12/13/2004

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

04/23/2008