EUGENE A CARACCIOLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

EUGENE A

Last Name

CARACCIOLO

Suffix

Business Name

EUGENE A CARACCIOLO MD

Original Issue Date

09/19/1995

Effective Date

09/19/1995

Expiration Date

07/31/1999

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006