MICHAEL WILLIAM LUCARELLI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033056

License Status

EXPIRED

Business

First Name

MICHAEL WILLIAM

Last Name

LUCARELLI

Business Name

MICHAEL WILLIAM LUCARELLI

Original Issue Date

06/06/1995

Effective Date

06/06/1995

Expiration Date

06/30/1998

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006