Ohio
Board of Licensing
Avery, David - MHCPI Dept. of Fam. Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.15048-SA
Date granted
08/09/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
617 Wells Rd., Tiffany Jones, Waterford, OH 45786
ohiolicensing.org
ID 29517871
LAST UPDATED 2024-02-20 17:02:53 UTC
LAST UPDATED 2024-02-20 17:02:53 UTC