LUCIA DIANE NOTARDONATO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160318

License Status

ACTIVE

Business

Title

First Name

LUCIA

Middle

DIANE

Last Name

NOTARDONATO

Business Name

LUCIA DIANE NOTARDONATO MD

Original Issue Date

04/19/2022

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2023