CHARLES J MARCUCCILLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102274

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

MARCUCCILLI

Suffix

Business Name

CHARLES J MARCUCCILLI MD

Original Issue Date

04/05/2000

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2023