Ohio
Board of Licensing
Broder-Oldach, Richard-Healthsource of Ohio
Medical Board - 41.Pa Supervision Agreement
License number
41.10272-SA
Date granted
04/14/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
150 Health Partner Circle, Mt. Orab, OH 45154
ohiolicensing.org
ID 29353472
LAST UPDATED 2024-03-24 22:24:03 UTC
LAST UPDATED 2024-03-24 22:24:03 UTC