LISA J PICCIONE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041103

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

PICCIONE

Business Name

LISA J PICCIONE

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

06/18/2003

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006