NICOLA LUCIO CHIARADONNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

NICOLA LUCIO

Last Name

CHIARADONNA

Suffix

Business Name

NICOLA LUCIO CHIARADONNA MD

Original Issue Date

11/01/2019

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/01/2023