SCOTT MICHAEL TERRANELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

MICHAEL

Last Name

TERRANELLA

Business Name

SCOTT MICHAEL TERRANELLA MD

Original Issue Date

10/23/2018

Effective Date

10/23/2018

Expiration Date

09/30/2020

City

ALGONQUIN

State

Zip

60102

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021