Ohio
Board of Licensing
Blackburn, Joseph-South Court Family Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.10894-SA
Date granted
10/21/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Jennifer, 1075 S. Court St., #100, Medina, OH 44256
ohiolicensing.org
ID 29369239
LAST UPDATED 2024-04-03 22:27:48 UTC
LAST UPDATED 2024-04-03 22:27:48 UTC