LUCIO G MICOLITTI 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

LUCIO G

Last Name

MICOLITTI

Suffix

Business Name

LUCIO G MICOLITTI MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006