License holder summary

Jenny Mariella Jaque is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for Jenny Mariella Jaque is WSU/Miami Valley Hospital, C/O Medical Education Dept, 1 Wyoming Street, Dayton, OH 45409. This licensed professional license is not current. The license was granted 10/19/2004 and expired on 06/23/2005.

Ohio

Board of Licensing

Jenny Mariella Jaque
Medical Board - 57.Md Training Certificate
License number
57.009151
Date granted
10/19/2004
Date expires
06/23/2005
Class
Medical Board - 57.Md Training Certificate
Status
Inactive
Address
WSU/Miami Valley Hospital, C/O Medical Education Dept, 1 Wyoming Street, Dayton, OH 45409
ohiolicensing.org
ID 28562776
LAST UPDATED 2024-04-24 12:17:50 UTC

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