Ohio
Board of Licensing
Johnson, Spencer-Southern Ohio Emergency Physician
Medical Board - 41.Pa Supervision Agreement
License number
41.14916-SA
Date granted
07/26/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
4206 Back Ridge Way, Monclova, OH 43542-8311
ohiolicensing.org
ID 29520714
LAST UPDATED 2024-03-09 09:57:42 UTC
LAST UPDATED 2024-03-09 09:57:42 UTC
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