JEANNINE PICCINICH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104866

License Status

ACTIVE

Business

First Name

JEANNINE

Last Name

PICCINICH

Business Name

JEANNINE PICCINICH

Original Issue Date

05/31/2001

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

IVANHOE

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

04/14/2023