License Directory

Jason David Iannuccilli

Active

California license A111724

License

Licensed by
Medical Board of California
License number
A111724
Status
Active (Current)
First issued
March 31, 2010
Expires
January 31, 2028
License holder
Jason David Iannuccilli
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

Envision Physician Services
3695 Green Rd
Beachwood, OH 44122
Cuyahoga County