Ohio
Board of Licensing
Jacaban, Pureza-Main Street Medical Center
Medical Board - 41.Pa Supervision Agreement
License number
41.5309-SA
Date granted
01/19/2005
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Valerie Jennings, 1336 E. Main Street, Columbus, OH 43205
ohiolicensing.org
ID 28684867
LAST UPDATED 2024-03-02 06:16:28 UTC
LAST UPDATED 2024-03-02 06:16:28 UTC