CHRISTINA E CIACCIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

CHRISTINA

Middle

Last Name

CIACCIO

Business Name

CHRISTINA E CIACCIO MD

Original Issue Date

09/21/2004

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023