MARK J LUCARELLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112739

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

LUCARELLI

Suffix

Business Name

MARK J LUCARELLI MD

Original Issue Date

12/07/2004

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/21/2023