ANTHONY J SPINELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

Last Name

SPINELLA

Business Name

ANTHONY J SPINELLA MD

Original Issue Date

02/04/2019

Effective Date

02/04/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021