Ohio
Board of Licensing
Grissom, Martin-ProMedica Physicians Hospitalist
Medical Board - 41.Pa Supervision Agreement
License number
41.17878-SA
Date granted
02/24/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
2142 N. Cove Blvd., Toledo, OH 43606
ohiolicensing.org
ID 29567386
LAST UPDATED 2026-09-02 03:33:51 UTC
LAST UPDATED 2026-09-02 03:33:51 UTC