NORMITA M LICUDINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

NORMITA M

Last Name

LICUDINE

Suffix

Business Name

NORMITA M LICUDINE MD

Original Issue Date

01/01/1997

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021