JARED J MARCUCCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

JARED

Middle

Last Name

MARCUCCI

Business Name

JARED J MARCUCCI MD

Original Issue Date

06/19/2014

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020