License holder summary

Buckley, Martha-Colonnade Medical Group is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Buckley, Martha-Colonnade Medical Group is Fairfield Medical Center, 401 N. Ewing St.,, Lancaster, OH 43130. This licensed professional license is not current. The license was granted 11/22/2010 and expired on 01/31/2013.

Ohio

Board of Licensing

Buckley, Martha-Colonnade Medical Group
Medical Board - 41.Pa Supervision Agreement
License number
41.12251-SA
Date granted
11/22/2010
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Fairfield Medical Center, 401 N. Ewing St.,, Lancaster, OH 43130
ohiolicensing.org
ID 29398735
LAST UPDATED 2024-03-08 04:10:07 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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