The holder whose full name is SCOTT, DOUGLAS ALAN,come from Fort Wayne IN,hold the Medical Residency Permit license(NO.11007883A) which status is Expired.
| Name | SCOTT, DOUGLAS ALAN |
|---|---|
| License Number | 11007883A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |