License holder summary

DiCiccio, Joseph - Joseph DiCicco, is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for DiCiccio, Joseph - Joseph DiCicco, is 4160 Little York Rd, Suite 10, Dayton, OH 45414. This licensed professional license is not current. The license was granted 01/15/2004 and expired on 01/31/2011.

Ohio

Board of Licensing

DiCiccio, Joseph - Joseph DiCicco,
Medical Board - 41.Pa Supervision Agreement
License number
41.4172-SA
Date granted
01/15/2004
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
4160 Little York Rd, Suite 10, Dayton, OH 45414
ohiolicensing.org
ID 28678084
LAST UPDATED 2026-06-14 12:45:50 UTC

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