NICOLA LUCIO CHIARADONNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

NICOLA LUCIO

Last Name

CHIARADONNA

Suffix

Business Name

NICOLA LUCIO CHIARADONNA MD

Original Issue Date

10/17/2019

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/01/2023