SCOTT KAYLOR MAURY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

KAYLOR

Last Name

MAURY

Business Name

SCOTT KAYLOR MAURY

Original Issue Date

08/14/2002

Effective Date

08/14/2002

Expiration Date

03/01/2006

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006