LOUIS A PICCOLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

CANCELLED

Business

First Name

LOUIS A

Last Name

PICCOLI

Suffix

Business Name

LOUIS A PICCOLI MD

Original Issue Date

10/22/1981

Effective Date

10/22/1981

Expiration Date

07/31/2005

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006