License holder summary

Johnson, Spencer-Southern Ohio Emergency Physician is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Johnson, Spencer-Southern Ohio Emergency Physician is 4206 Back Ridge Way, Monclova, OH 43542-8311. This licensed professional license is current. The license was granted 07/26/2012 and expired on 01/31/2015.

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

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