Ohio
Board of Licensing
Domingo, Evillo-Samaritan Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.5760-SA
Date granted
04/27/2005
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Jeanne Durga, 4075 Cooper Ridge Dr, Traverse City, OH 49684
ohiolicensing.org
ID 28734481
LAST UPDATED 2026-05-29 02:18:24 UTC
LAST UPDATED 2026-05-29 02:18:24 UTC