License holder summary

ELIZABETH A MENICUCCI is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for ELIZABETH A MENICUCCI is 8900 W Dodge Rd OMAHA NE 68114. This licensed professional license is not current. The license was granted 09/21/2004 and expired on 09/30/2012.

Iowa

Professional Licensing Bureau

ELIZABETH A MENICUCCI
Physician Assistants - Physician Assistant
License number
001595
Date granted
09/21/2004
Date expires
09/30/2012
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
8900 W Dodge Rd OMAHA NE 68114
iowalicenses.org
ID 24188421
LAST UPDATED 2024-04-03 22:59:30 UTC

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