SCOTT JOSEPH CICCIARELLI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008908

License Status

ACTIVE

Business

First Name

SCOTT

Middle

JOSEPH

Last Name

CICCIARELLI

Business Name

SCOTT JOSEPH CICCIARELLI

Original Issue Date

02/25/2022

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

Ever Disciplined

LastModifiedDate

02/03/2026