RICHARD J CERAGIOLI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

RICHARD J

Last Name

CERAGIOLI

Business Name

RICHARD J CERAGIOLI

Original Issue Date

06/12/1992

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023