Ohio
Board of Licensing
Davis, Mark - MIPA Primary Care
Medical Board - 41.Pa Supervision Agreement
License number
41.140-SA
Date granted
10/14/2004
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1069 Delaware Ave., #205 B, Marion, OH 43302
ohiolicensing.org
ID 28673743
LAST UPDATED 2024-02-25 11:47:19 UTC
LAST UPDATED 2024-02-25 11:47:19 UTC