CHARLES J MARCUCCILLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

MARCUCCILLI

Suffix

Business Name

CHARLES J MARCUCCILLI MD

Original Issue Date

03/05/2002

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023