DEBRA LYNN RICCIARDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

LYNN

Last Name

RICCIARDI

Business Name

DEBRA LYNN RICCIARDI

Original Issue Date

04/16/1997

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

WHEELING

State

Zip

60090

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017