MARK JOSEPH RICCIARDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

JOSEPH

Last Name

RICCIARDI

Business Name

MARK JOSEPH RICCIARDI MD

Original Issue Date

07/31/1998

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023