Ohio
Board of Licensing
Elliot, Larry-Southeastern Ohio Regional Medical C
Medical Board - 41.Pa Supervision Agreement
License number
41.13979-SA
Date granted
12/12/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Emily Diaz, 1341 N. Clark St, Cambridge, OH 43725
ohiolicensing.org
ID 29486234
LAST UPDATED 2024-05-09 00:28:54 UTC
LAST UPDATED 2024-05-09 00:28:54 UTC
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