PHILLIP MICHAEL PICCININI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122358

License Status

ACTIVE

Business

First Name

PHILLIP

Middle

MICHAEL

Last Name

PICCININI

Suffix

Business Name

PHILLIP MICHAEL PICCININI MD

Original Issue Date

12/18/2008

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

SAN MARINO

State

Zip

91108

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/21/2023