Ohio
Board of Licensing
Anim, Mamle-Wright State Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.13398-SA
Date granted
08/15/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1222 S. Patterson Blvd. #230, Dayton, OH 45402
ohiolicensing.org
ID 29477712
LAST UPDATED 2024-03-17 09:32:26 UTC
LAST UPDATED 2024-03-17 09:32:26 UTC