Ohio
Board of Licensing
Healthcare Connection
Medical Board - 92.Treatment Provider
License number
92.24
Date granted
11/12/2003
Date expires
07/11/2010
Class
Medical Board - 92.Treatment Provider
Status
Inactive
Address
Tampa, FL 33612
ohiolicensing.org
ID 29395658
LAST UPDATED 2026-04-01 01:31:12 UTC
LAST UPDATED 2026-04-01 01:31:12 UTC