Ohio
Board of Licensing
Gallagher, Jessica-Fairborn Family Practice
Medical Board - 41.Pa Supervision Agreement
License number
41.9155-SA
Date granted
05/08/2008
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Jane Malavich, 850 E. Xenia Dr., #600, Fairborn, OH 45324
ohiolicensing.org
ID 29012322
LAST UPDATED 2024-03-22 00:52:35 UTC
LAST UPDATED 2024-03-22 00:52:35 UTC