KELLY ANN LUCIANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

ANN

Last Name

LUCIANO

Business Name

KELLY ANN LUCIANO MD

Original Issue Date

08/28/2014

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023