Ohio
Board of Licensing
Berno, Jack-First Capital Internal Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.6699-SA
Date granted
12/16/2005
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Debbie Bates, 4439 St. Rt 159 #270, Chillicothe, OH 45601
ohiolicensing.org
ID 28858821
LAST UPDATED 2024-05-09 20:04:35 UTC
LAST UPDATED 2024-05-09 20:04:35 UTC