GINA TERESE CIACCIA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128663

License Status

ACTIVE

Business

Title

First Name

GINA

Middle

TERESE

Last Name

CIACCIA

Business Name

GINA TERESE CIACCIA DO

Original Issue Date

08/01/2011

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2023