(MCT) — CHICAGO — A former Joliet, Ill., surgeon who reinvented himself as a “Lyme-literate” physician after Iowa medical authorities charged him with professional incompetence is now facing allegations of misconduct related to his new practice.

The Iowa Board of Medicine is pursing formal disciplinary charges against Dr. Jeffrey Piccirillo, 50, who practices in northwest suburban Lake in the Hills and in Grinnell, Iowa. The charges allege professional incompetence, “practice harmful or detrimental to the public,” sexual misconduct and unethical or unprofessional conduct.