DANIEL LEIGH PICCHIETTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

DANIEL LEIGH

Last Name

PICCHIETTI

Suffix

Business Name

DANIEL LEIGH PICCHIETTI MD

Original Issue Date

06/29/1981

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023