Ohio
Board of Licensing
Henthorn, Raymond-SEORMC Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.13974-SA
Date granted
12/12/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Emily Diaz, 1341 N. Clark St, Cambridge, OH 43725
ohiolicensing.org
ID 29486191
LAST UPDATED 2024-04-07 13:03:12 UTC
LAST UPDATED 2024-04-07 13:03:12 UTC