License holder summary

Keith, Fraser - Med Central Mansfield is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Keith, Fraser - Med Central Mansfield is 770 Balgreen Dr., #107, Mansfield, OH 44906. This licensed professional license is not current. The license was granted 06/22/2004 and expired on 01/31/2013.

Ohio

Board of Licensing

Keith, Fraser - Med Central Mansfield
Medical Board - 41.Pa Supervision Agreement
License number
41.663-SA
Date granted
06/22/2004
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
770 Balgreen Dr., #107, Mansfield, OH 44906
ohiolicensing.org
ID 28674304
LAST UPDATED 2024-03-06 04:44:37 UTC

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