Ohio
Board of Licensing
Anderson, Traci-Marymount Primary Care Services
Medical Board - 41.Pa Supervision Agreement
License number
41.7390-SA
Date granted
10/31/2006
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Pete Walchanowicz, 6701 Rockside Rd. #260, Independence, OH 44131
ohiolicensing.org
ID 28924356
LAST UPDATED 2024-02-14 10:38:48 UTC
LAST UPDATED 2024-02-14 10:38:48 UTC