ADRIANNA J PICICCO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

ADRIANNA

Middle

Last Name

PICICCO

Business Name

ADRIANNA J PICICCO

Original Issue Date

10/17/2024

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025