Ohio
Board of Licensing
Delatore, Luca-OSU Wexner Medical Center
Medical Board - 41.Pa Supervision Agreement
License number
41.18604-SA
Date granted
08/04/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
410 W. 10th Ave, Columbus, OH 43210
ohiolicensing.org
ID 29584111
LAST UPDATED 2026-05-08 23:22:22 UTC
LAST UPDATED 2026-05-08 23:22:22 UTC