Ohio
Board of Licensing
Hertzendorf, Jill-Mid Ohio Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.11112-SA
Date granted
12/21/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Med Central Health System, 335 Glessner Ave, Mansfield, OH 44903
ohiolicensing.org
ID 29372691
LAST UPDATED 2024-05-09 04:35:06 UTC
LAST UPDATED 2024-05-09 04:35:06 UTC