ELIZABETH A MENICUCCI
Physician Assistants - Physician Assistant
Iowa 001595 Inactive
This Iowa license was held by ELIZABETH A MENICUCCI. The license is no longer active. It was granted on 09/21/2004 and expired on 09/30/2012
LICENSE DETAILS
- License Number: 001595
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 09/21/2004 (over 20 years ago)
- Expiry Date: 09/30/2012 (over 12 years ago)
LOCATIONS
A Address
8900 W Dodge Rd OMAHA NE 68114