License holder summary

CHAD JOSEPH MICUCCI is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for CHAD JOSEPH MICUCCI is FOLLANSBEE WV 26037. This medical practitioner license is not current. The license was granted 04/22/2004 and expired on 06/30/2009.

Department of State

Board of Medicine

CHAD JOSEPH MICUCCI
Graduate Medical Trainee
License number
MT183646
Date granted
04/22/2004
Date expires
06/30/2009
Class
Graduate Medical Trainee
Status
Inactive
Address
FOLLANSBEE WV 26037
medicinepa.com
ID 37551866
LAST UPDATED 2024-03-06 10:28:59 UTC

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