LAUREN ELIZABETH DICICCO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

ACTIVE

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

DICICCO

Business Name

LAUREN ELIZABETH DICICCO

Original Issue Date

07/05/2016

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026