Ohio
Board of Licensing
Kakumanu, Vijay-Mid State Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.15449-SA
Date granted
09/25/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
335 Glessner Ave., Med Central Health System, Mansfield, OH 44903
ohiolicensing.org
ID 29522841
LAST UPDATED 2024-04-17 01:23:22 UTC
LAST UPDATED 2024-04-17 01:23:22 UTC