License holder summary

Anderson, Traci-Marymount Primary Care Services is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Anderson, Traci-Marymount Primary Care Services is Pete Walchanowicz, 6701 Rockside Rd. #260, Independence, OH 44131. This licensed professional license is not current. The license was granted 10/31/2006 and expired on 01/31/2009.

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

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