LOUIS A PICCOLI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063324

License Status

INACTIVE

Business

First Name

LOUIS A

Last Name

PICCOLI

Suffix

Business Name

LOUIS A PICCOLI MD

Original Issue Date

10/01/1981

Effective Date

10/01/1981

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006