License holder summary

Gouda, Jan- Dayton Pain Center is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Gouda, Jan- Dayton Pain Center is 331 Sixth Ave., Dayton Pain Center, Sidney, OH 45417. This licensed professional license is current. The license was granted 10/31/2012 and expired on 01/31/2015.

Ohio

Board of Licensing

Gouda, Jan- Dayton Pain Center
Medical Board - 41.Pa Supervision Agreement
License number
41.15593-SA
Date granted
10/31/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
331 Sixth Ave., Dayton Pain Center, Sidney, OH 45417
ohiolicensing.org
ID 29525309
LAST UPDATED 2024-01-27 10:50:15 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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