Ohio
Board of Licensing
Greene, Spencer-EMS/SEC
Medical Board - 41.Pa Supervision Agreement
License number
41.6483-SA
Date granted
11/02/2005
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Shelly Rooks, 20 Prestige Plaza #100, Miamisburg, OH 45342
ohiolicensing.org
ID 28856645
LAST UPDATED 2026-04-04 00:28:25 UTC
LAST UPDATED 2026-04-04 00:28:25 UTC