JOHN PHILIP SCANALIATO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

PHILIP

Last Name

SCANALIATO

Business Name

JOHN PHILIP SCANALIATO MD

Original Issue Date

04/27/2023

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023