License holder summary

KEITH D MICUCCI is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for KEITH D MICUCCI is QUAKERTOWN PA 18951. This licensed professional license is current. The license was granted 12/11/2009 and expired on 04/30/2018.

Pennsylvania

Department of State

KEITH D MICUCCI
Certified Registered Nurse Practitioner
License number
SP010643
Date granted
12/11/2009
Date expires
04/30/2018
Class
Certified Registered Nurse Practitioner
Status
Active
Address
QUAKERTOWN PA 18951
palicensing.org
ID 16674050
LAST UPDATED 2024-02-19 05:31:31 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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