LOUIS A PICCOLI 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

First Name

LOUIS A

Last Name

PICCOLI

Suffix

Business Name

LOUIS A PICCOLI MD

Original Issue Date

07/24/1987

Effective Date

07/24/1987

Expiration Date

07/31/1990

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006