COLLEEN HELEN RUSCIOLELLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

HELEN

Last Name

RUSCIOLELLI

Suffix

Business Name

COLLEEN HELEN RUSCIOLELLI MD

Original Issue Date

04/21/2011

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023