License holder summary

ANNE A IDICULLA is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for ANNE A IDICULLA is Saint Joseph MO 64506. This medical practitioner license is not current. The license was granted 02/14/1977 and expired on 12/31/2004.

Department of State

Board of Medicine

ANNE A IDICULLA
Medical Physician And Surgeon
License number
MD037012L
Date granted
02/14/1977
Date expires
12/31/2004
Class
Medical Physician And Surgeon
Status
Inactive
Address
Saint Joseph MO 64506
medicinepa.com
ID 37624543
LAST UPDATED 2026-07-16 21:40:24 UTC

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