License holder summary

Grissom, Martin-ProMedica Physicians Hospitalist is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Grissom, Martin-ProMedica Physicians Hospitalist is 2142 N. Cove Blvd., Toledo, OH 43606. This licensed professional license is current. The license was granted 02/24/2014 and expired on 01/31/2015.

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 2024-04-03 16:59:10 UTC

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