Ohio
Board of Licensing
Boulter, Jeffrey-EPS
Medical Board - 41.Pa Supervision Agreement
License number
41.18857-SA
Date granted
09/29/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
730 W. Market St, St. Rita's Medical Center, Lima, OH 45801
ohiolicensing.org
ID 29588179
LAST UPDATED 2026-05-17 08:49:56 UTC
LAST UPDATED 2026-05-17 08:49:56 UTC