JENNIFER MARIE SCAGLIOLA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

MARIE

Last Name

SCAGLIOLA

Business Name

JENNIFER MARIE SCAGLIOLA DO

Original Issue Date

01/04/2016

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

HARRISBURG

State

Zip

62946

County

SALINE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021