SCOTT JAMES MAHON DO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

JAMES

Last Name

MAHON

Business Name

SCOTT JAMES MAHON DO

Original Issue Date

12/12/2006

Effective Date

01/06/2010

Expiration Date

03/01/2012

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/12/2014