MICHAEL RAYMOND FIORUCCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

RAYMOND

Last Name

FIORUCCI

Business Name

MICHAEL RAYMOND FIORUCCI MD

Original Issue Date

10/31/2007

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

LOCKPORT

State

Zip

60441

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020