Ohio
Board of Licensing
Funk, Nikole-New Century Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.8054-SA
Date granted
05/29/2007
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Upper Valley Medical Center, 3130 N. Dixie Highway, Troy, OH 45373
ohiolicensing.org
ID 28943932
LAST UPDATED 2026-06-24 17:55:29 UTC
LAST UPDATED 2026-06-24 17:55:29 UTC