Ohio
Board of Licensing
Irvin, Kimberly- TeamHealth Midwest
Medical Board - 41.Pa Supervision Agreement
License number
41.15489-SA
Date granted
09/27/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
2222 Philadelphia Dr., Good Samaritan Hospital, Dayton, OH 45406
ohiolicensing.org
ID 29523003
LAST UPDATED 2026-05-09 15:58:25 UTC
LAST UPDATED 2026-05-09 15:58:25 UTC