DANIELA MARIA MENICHELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

DANIELA

Middle

MARIA

Last Name

MENICHELLA

Suffix

Business Name

DANIELA MARIA MENICHELLA MD

Original Issue Date

06/24/2011

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023