| | Physician Last Name: | Ciccarelli |
| | Physician First Name: | Robert |
| | Physician Middle Name: | W |
| | Address: | Address Redacted |
| | License Number: | 002719 |
| | License Type: | PA |
| | Year of Birth: |
1957
|
| | Effective Date: | 11/22/2013 |
| | Action Description for DOH Webpage: | Censure and reprimand and $1,500 fine. The physician assistant completed the terms of his order effective February 3, 2014. |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge finding the physician assistant guilty of having been convicted in the Manistee Justice Court, Arizona of driving under the influence of liquor or drugs. |
| | License Restrictions for DOH Webpage: | |
| | Board Order: |
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