PIERO M A FISICHELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112122

License Status

ACTIVE

Business

First Name

PIERO

Middle

M A

Last Name

FISICHELLA

Suffix

Business Name

PIERO M A FISICHELLA MD

Original Issue Date

08/16/2004

Effective Date

07/08/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2024