PHILLIP MICHAEL PICCININI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

MICHAEL

Last Name

PICCININI

Suffix

Business Name

PHILLIP MICHAEL PICCININI MD

Original Issue Date

12/19/2008

Effective Date

05/23/2014

Expiration Date

07/31/2017

City

SAN MARINO

State

Zip

91108

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020