No date
License to practice midwifery issued to Rose Spadaccino, January 1, 1925
Rosario ""Rose"" Spadaccino was born in Macchia Valfortore, Italy, and immigrated to Elmira, N.Y. around 1900 with her husband Donato Muccigrosso (1875-1943). She worked as a midwife for over 20 years.
From the Chemung County Historical Society: https://nyheritage.contentdm.oclc.org/digital/collection/p16694coll129/id/707/rec/11