License holder summary

Dean, Jacob-Western Medicine is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Dean, Jacob-Western Medicine is 7790 Dayton Rd, Fairborn, OH 45324. This licensed professional license is current. The license was granted 11/24/2014 and expired on 01/31/2017.

Ohio

Board of Licensing

Dean, Jacob-Western Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.19128-SA
Date granted
11/24/2014
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
7790 Dayton Rd, Fairborn, OH 45324
ohiolicensing.org
ID 29591163
LAST UPDATED 2026-06-12 23:20:38 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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