Ohio
Board of Licensing
Heiser, Jacqueline-Holzer
Medical Board - 41.Pa Supervision Agreement
License number
41.18792-SA
Date granted
09/17/2014
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
100 Jackson Pike, Shana Booher, Gallipolis, OH 45631
ohiolicensing.org
ID 29587516
LAST UPDATED 2024-03-04 20:44:11 UTC
LAST UPDATED 2024-03-04 20:44:11 UTC