Ohio
Board of Licensing
Hackney, David-Columbus Neighborhood Health
Medical Board - 41.Pa Supervision Agreement
License number
41.5618-SA
Date granted
03/21/2005
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Attn Dr. Walzak, 1260 N. HIgh St., Columbus, OH 43201
ohiolicensing.org
ID 28731459
LAST UPDATED 2024-01-28 04:11:00 UTC
LAST UPDATED 2024-01-28 04:11:00 UTC