MARIO RICCARDO COLELLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

MARIO

Middle

RICCARDO

Last Name

COLELLA

Suffix

Business Name

MARIO RICCARDO COLELLA DO

Original Issue Date

05/21/2008

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023