EILEEN ANNA CICCIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

EILEEN

Middle

ANNA

Last Name

CICCIA

Business Name

EILEEN ANNA CICCIA MD

Original Issue Date

07/21/2020

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023