KELLY ANN LUCIANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136351

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

ANN

Last Name

LUCIANO

Business Name

KELLY ANN LUCIANO MD

Original Issue Date

08/28/2014

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/06/2023