CONNIE MARIE PICCONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153864

License Status

ACTIVE

Business

Title

First Name

CONNIE

Middle

MARIE

Last Name

PICCONE

Business Name

CONNIE MARIE PICCONE MD

Original Issue Date

07/28/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

04/06/2023