Ohio
Board of Licensing
Dietz, Michael-HealthSource of Ohio
Medical Board - 41.Pa Supervision Agreement
License number
41.12146-SA
Date granted
11/02/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Milford, OH 45150
ohiolicensing.org
ID 29397505
LAST UPDATED 2026-06-10 20:19:34 UTC
LAST UPDATED 2026-06-10 20:19:34 UTC