License holder summary

Anderson, Samuel-COPC is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Anderson, Samuel-COPC is 500 Thomas Lane #3G, Columbus, OH 43214. This licensed professional license is current. The license was granted 09/12/2012 and expired on 01/31/2015.

Ohio

Board of Licensing

Anderson, Samuel-COPC
Medical Board - 41.Pa Supervision Agreement
License number
41.15375-SA
Date granted
09/12/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
500 Thomas Lane #3G, Columbus, OH 43214
ohiolicensing.org
ID 29521512
LAST UPDATED 2024-02-15 17:11:19 UTC

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