Ohio
Board of Licensing
Jacques, Andrew-Mid Ohio Emergency Services
Medical Board - 41.Pa Supervision Agreement
License number
41.14685-SA
Date granted
05/03/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Tina Sullivan, 3535 Olentangy River Rd, Columbus, OH 43214
ohiolicensing.org
ID 29507869
LAST UPDATED 2026-06-17 12:11:18 UTC
LAST UPDATED 2026-06-17 12:11:18 UTC