License holder summary

Asunta Tiburtius Moduthagam is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for Asunta Tiburtius Moduthagam is Aultman Hospital, c/o Medical Education Dept, 2600 Sixth Street SW, Canton, OH 44710. This licensed professional license is not current. The license was granted 04/30/2007 and expired on 06/30/2011.

Ohio

Board of Licensing

Asunta Tiburtius Moduthagam
Medical Board - 57.Md Training Certificate
License number
57.012886
Date granted
04/30/2007
Date expires
06/30/2011
Class
Medical Board - 57.Md Training Certificate
Status
Inactive
Address
Aultman Hospital, c/o Medical Education Dept, 2600 Sixth Street SW, Canton, OH 44710
ohiolicensing.org
ID 28937973
LAST UPDATED 2024-03-09 07:39:51 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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