Ohio
Board of Licensing
Jacobs, Edward-Lima Urology
Medical Board - 41.Pa Supervision Agreement
License number
41.10009-SA
Date granted
01/21/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Debi Blankenship, 770 W. High St., #350, Lima, OH 45801
ohiolicensing.org
ID 29321929
LAST UPDATED 2024-02-10 15:51:36 UTC
LAST UPDATED 2024-02-10 15:51:36 UTC