Iowa
Professional Licensing Bureau
Sam Girolamo Puccinelli
Physician Assistants - Physician Assistant
License number
001961
Date granted
12/23/2008
Date expires
09/30/2010
Class
Physician Assistants - Physician Assistant
Status
Inactive
Address
1006 S Cuyler Ave OAK PARK IL 60304
iowalicenses.org
ID 24190330
LAST UPDATED 2026-05-21 13:18:56 UTC
LAST UPDATED 2026-05-21 13:18:56 UTC
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