MORGAN ELAINE MARCUCCILLI DO 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

Title

First Name

MORGAN

Middle

ELAINE

Last Name

MARCUCCILLI

Business Name

MORGAN ELAINE MARCUCCILLI DO

Original Issue Date

04/19/2013

Effective Date

04/19/2013

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014