License holder summary

Hackenberg, Douglas-Medina Emergency Associates is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Hackenberg, Douglas-Medina Emergency Associates is 1000 E. Washington, Medina, OH 44256. This licensed professional license is not current. The license was granted 07/07/2005 and expired on 01/31/2013.

Ohio

Board of Licensing

Hackenberg, Douglas-Medina Emergency Associates
Medical Board - 41.Pa Supervision Agreement
License number
41.5931-SA
Date granted
07/07/2005
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
1000 E. Washington, Medina, OH 44256
ohiolicensing.org
ID 28791277
LAST UPDATED 2024-05-03 01:32:12 UTC

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