License holder summary

Dr. IRENE PUCCIARELLI is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. IRENE PUCCIARELLI is 3527 S FEDERAL WAY STE 103 BOISE ID 83705. This licensed professional license is current. The license was granted 08/22/2011 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. IRENE PUCCIARELLI
Board Of Medicine
License number
O-0633
Date granted
08/22/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3527 S FEDERAL WAY STE 103 BOISE ID 83705
idaholicensing.com
ID 48342665
LAST UPDATED 2026-03-27 10:29:04 UTC

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