Ohio
Board of Licensing
Carroll, Marion-Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.9783-SA
Date granted
11/12/2008
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Ashtabula County Medical Center, 2420 Lake Ave, Ashtabula, OH 44004
ohiolicensing.org
ID 29318704
LAST UPDATED 2026-05-27 21:16:05 UTC
LAST UPDATED 2026-05-27 21:16:05 UTC