BENNETT PETER SCAGLIA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088435

License Status

INACTIVE

Business

First Name

BENNETT PETER

Last Name

SCAGLIA

Suffix

Business Name

BENNETT PETER SCAGLIA MD

Original Issue Date

05/19/1994

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

PORT ORANGE

State

Zip

32128

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/08/2014