LISA J PICCIONE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

PICCIONE

Business Name

LISA J PICCIONE

Original Issue Date

10/15/2002

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011