CHARLES ALEXANDER RICCIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

ALEXANDER

Last Name

RICCIO

Business Name

CHARLES ALEXANDER RICCIO MD

Original Issue Date

04/04/2022

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

MEMPHIS

State

Zip

38103

County

SHELBY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2024