DEBRA LYNNE CIASULLI MD Medical Doctor License verification

DEBRA LYNNE CIASULLI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

DEBRA

Middle

LYNNE

Last Name

CIASULLI

Business Name

DEBRA LYNNE CIASULLI MD

Original Issue Date

06/02/2011

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2020004057

Action

Surrender (Relinquish)

Discipline Start Date

11/09/2021

Discipline Reason

c.s. license surrendered due to improper controlled substance prescribing.