License holder summary

Daisley, Samuel- Samuel J. Daisley, D.O. is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Daisley, Samuel- Samuel J. Daisley, D.O. is 149 E. Main St., Connie Shannon, Andover, OH 44003. This licensed professional license is current. The license was granted 05/02/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Daisley, Samuel- Samuel J. Daisley, D.O.
Medical Board - 41.Pa Supervision Agreement
License number
41.16569-SA
Date granted
05/02/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
149 E. Main St., Connie Shannon, Andover, OH 44003
ohiolicensing.org
ID 29543881
LAST UPDATED 2024-05-05 15:11:23 UTC

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