DANIELA MARIA MENICHELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

DANIELA

Middle

MARIA

Last Name

MENICHELLA

Suffix

Business Name

DANIELA MARIA MENICHELLA MD

Original Issue Date

08/31/2011

Effective Date

08/31/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020