License holder summary

Humphrey, Michael - Ottowa Family Medicine is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Humphrey, Michael - Ottowa Family Medicine is 601 US 224 Box 275, Ottowa, OH 45875. This licensed professional license is not current. The license was granted 10/09/2003 and expired on 01/31/2005.

Ohio

Board of Licensing

Humphrey, Michael - Ottowa Family Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.3857-SA
Date granted
10/09/2003
Date expires
01/31/2005
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
601 US 224 Box 275, Ottowa, OH 45875
ohiolicensing.org
ID 28677745
LAST UPDATED 2024-04-30 13:59:13 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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