ALAN G MICCO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

ALAN G

Last Name

MICCO

Suffix

Business Name

ALAN G MICCO MD

Original Issue Date

11/08/1990

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023