License holder summary

Clark, Katherine - INDIAN RIPPLE FAMILY HEALTH CENTER is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Clark, Katherine - INDIAN RIPPLE FAMILY HEALTH CENTER is 4426 INDIAN RIPPLE RD, Beavercreek, OH 45440. This licensed professional license is not current. The license was granted 12/29/1998 and expired on 01/31/2005.

Ohio

Board of Licensing

Clark, Katherine - INDIAN RIPPLE FAMILY HEALTH CENTER
Medical Board - 41.Pa Supervision Agreement
License number
41.1646-SA
Date granted
12/29/1998
Date expires
01/31/2005
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
4426 INDIAN RIPPLE RD, Beavercreek, OH 45440
ohiolicensing.org
ID 28675357
LAST UPDATED 2024-03-26 14:26:34 UTC

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