Ohio
Board of Licensing
Columber, Heather-MIPA Primary Care
Medical Board - 41.Pa Supervision Agreement
License number
41.6020-SA
Date granted
07/29/2005
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
1069 Delaware Ave #205B, Marion, OH 43302
ohiolicensing.org
ID 28793011
LAST UPDATED 2026-04-04 21:13:52 UTC
LAST UPDATED 2026-04-04 21:13:52 UTC