KRISTIN NICOLE VERCILLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

KRISTIN

Middle

NICOLE

Last Name

VERCILLO

Business Name

KRISTIN NICOLE VERCILLO MD

Original Issue Date

03/10/2015

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023