Ohio
Board of Licensing
Jacobs, Kenneth-Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.15549-SA
Date granted
10/16/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Good Samaritan Hospital, 2222 Philadelphia Ave, Dayton, OH 45406
ohiolicensing.org
ID 29524221
LAST UPDATED 2026-03-27 14:22:53 UTC
LAST UPDATED 2026-03-27 14:22:53 UTC