Ohio
Board of Licensing
JILLIAN DIANE CUSTIS
Medical Board - 33.Lmt C D Group
License number
33.010464-C-D
Date granted
07/13/2001
Date expires
08/31/2007
Class
Medical Board - 33.Lmt C D Group
Status
Inactive
Address
849 N. BROADWAY, LEBANON, OH 45036
ohiolicensing.org
ID 28452717
LAST UPDATED 2024-02-20 13:05:30 UTC
LAST UPDATED 2024-02-20 13:05:30 UTC