Ohio
Board of Licensing
Eastin, Travis-OSU Emergency Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.14382-SA
Date granted
03/15/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1492 E. Broad St, Columbus, OH 43205
ohiolicensing.org
ID 29498763
LAST UPDATED 2024-02-28 05:13:52 UTC
LAST UPDATED 2024-02-28 05:13:52 UTC