Ohio
Board of Licensing
Gaspar, Allen-Fauster Cameron
Medical Board - 41.Pa Supervision Agreement
License number
41.10494-SA
Date granted
07/13/2009
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Nicole Sheets, 1400 E. Second St, Defiance, OH 43512
ohiolicensing.org
ID 29362031
LAST UPDATED 2024-03-18 16:39:04 UTC
LAST UPDATED 2024-03-18 16:39:04 UTC