Ohio
Board of Licensing
Boggus, Van - Toledo Hospital Promedica
Medical Board - 41.Pa Supervision Agreement
License number
41.4119-SA
Date granted
12/23/2003
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
6444 Monroe Street, Suite A, Sylvania, OH 43560
ohiolicensing.org
ID 28678026
LAST UPDATED 2026-06-23 17:10:53 UTC
LAST UPDATED 2026-06-23 17:10:53 UTC