Ohio
Board of Licensing
Gateways
Medical Board - 92.Treatment Provider
License number
92.2
Date granted
03/11/2010
Date expires
06/11/2017
Class
Medical Board - 92.Treatment Provider
Status
Active
Address
Cincinnati, OH 45229
ohiolicensing.org
ID 29379343
LAST UPDATED 2026-05-15 15:07:53 UTC
LAST UPDATED 2026-05-15 15:07:53 UTC