JOHN PELLICCIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Last Name

PELLICCIA

Business Name

JOHN PELLICCIA MD

Original Issue Date

12/17/2012

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017