CARLA ROSE SCANZELLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121480

License Status

NOT RENEWED

Business

Title

First Name

CARLA

Middle

ROSE

Last Name

SCANZELLO

Business Name

CARLA ROSE SCANZELLO MD

Original Issue Date

07/15/2008

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014