Ohio
Board of Licensing
Iberico-Sanudo, Mariano-Pulmonary Medicine of Dayt
Medical Board - 41.Pa Supervision Agreement
License number
41.8159-SA
Date granted
06/20/2007
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Kettering Medical Center, 3535 Southern Blvd, Kettering, OH 45429
ohiolicensing.org
ID 28946226
LAST UPDATED 2026-04-23 15:19:04 UTC
LAST UPDATED 2026-04-23 15:19:04 UTC