JOHN PELLICCIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129677

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Last Name

PELLICCIA

Business Name

JOHN PELLICCIA MD

Original Issue Date

02/28/2012

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/01/2017