Ohio
Board of Licensing
Baum, Michael-Southern Ohio Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.12039-SA
Date granted
10/06/2010
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Fayette County Memorial Hospital, 1430 Columbus Ave, Washington Court House, OH 43160
ohiolicensing.org
ID 29396027
LAST UPDATED 2026-08-07 06:55:52 UTC
LAST UPDATED 2026-08-07 06:55:52 UTC