NICOLA LUCIO CHIARADONNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

NICOLA LUCIO

Last Name

CHIARADONNA

Suffix

Business Name

NICOLA LUCIO CHIARADONNA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020