Ohio
Board of Licensing
Andes, Justin-Northern OH Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.18159-SA
Date granted
05/02/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
875 8th St., NE, Massillon, OH 44646
ohiolicensing.org
ID 29575524
LAST UPDATED 2026-05-15 00:27:41 UTC
LAST UPDATED 2026-05-15 00:27:41 UTC