ANNE A IDICULLA
Medical Physician And Surgeon
Pennsylvania MD037012L Inactive
This Pennsylvania license was held by ANNE A IDICULLA. The license is no longer active. It was granted on 02/14/1977 and expired on 12/31/2004
LICENSE DETAILS
- License Number: MD037012L
- Category: Medical Physician and Surgeon
- Status: Inactive
- Date Granted: 02/14/1977 (about 48 years ago)
- Expiry Date: 12/31/2004 (over 20 years ago)
LOCATIONS
A Address
Saint Joseph MO 64506