Ohio
Board of Licensing
Carmen, Kevin-SEORMC
Medical Board - 41.Pa Supervision Agreement
License number
41.15608-SA
Date granted
10/31/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Emily Diaz, 1341 Clark St., Cambridge, OH 43725
ohiolicensing.org
ID 29525347
LAST UPDATED 2024-05-08 18:49:29 UTC
LAST UPDATED 2024-05-08 18:49:29 UTC