License holder summary

DERICK, DALE - Toledo Hospital Promedica is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for DERICK, DALE - Toledo Hospital Promedica is 5300 Harroun Road, Sylvania, OH 43560. This licensed professional license is current. The license was granted 11/29/1999 and expired on 01/31/2015.

Ohio

Board of Licensing

DERICK, DALE - Toledo Hospital Promedica
Medical Board - 41.Pa Supervision Agreement
License number
41.992-SA
Date granted
11/29/1999
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
5300 Harroun Road, Sylvania, OH 43560
ohiolicensing.org
ID 28674653
LAST UPDATED 2024-03-26 01:01:38 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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