License holder summary

Basil, Jack-Tristate Gynecologic Oncology is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Basil, Jack-Tristate Gynecologic Oncology is 3219 Clifton Ave #100, Cincinnati, OH 45220. This licensed professional license is current. The license was granted 01/21/2010 and expired on 01/31/2015.

Ohio

Board of Licensing

Basil, Jack-Tristate Gynecologic Oncology
Medical Board - 41.Pa Supervision Agreement
License number
41.11180-SA
Date granted
01/21/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
3219 Clifton Ave #100, Cincinnati, OH 45220
ohiolicensing.org
ID 29374441
LAST UPDATED 2026-03-24 16:44:24 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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