Ohio
Board of Licensing
Adams, Russell-SEORMC
Medical Board - 41.Pa Supervision Agreement
License number
41.19008-SA
Date granted
10/27/2014
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
1341 N. Clark St, Cambridge, OH 43725
ohiolicensing.org
ID 29589920
LAST UPDATED 2026-05-22 19:52:35 UTC
LAST UPDATED 2026-05-22 19:52:35 UTC