Ohio
Board of Licensing
Kennebeck, Gregory-Emergency Professional Servic
Medical Board - 41.Pa Supervision Agreement
License number
41.13814-SA
Date granted
11/02/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Good Samaritan Hospitial, 2222 Philadelphia Dr.,, Dayton, OH 45406
ohiolicensing.org
ID 29483681
LAST UPDATED 2026-05-09 22:28:53 UTC
LAST UPDATED 2026-05-09 22:28:53 UTC