LISA J PICCIONE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107790

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

PICCIONE

Business Name

LISA J PICCIONE

Original Issue Date

09/06/2002

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

11/17/2014