JEFFREY L PICCIRILLO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023369

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

PICCIRILLO

Suffix

Business Name

JEFFREY L PICCIRILLO DO

Original Issue Date

04/25/1989

Effective Date

04/25/1989

Expiration Date

06/22/1992

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006