MICHAEL FRANCIS CICCARELLI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

FRANCIS

Last Name

CICCARELLI

Business Name

MICHAEL FRANCIS CICCARELLI DO

Original Issue Date

08/29/2025

Effective Date

08/29/2025

Expiration Date

07/31/2026

City

WEST SAND LAKE

State

Zip

12196

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2025