License holder summary

Koontz, Stanley-Southeastern Ohio Regional Medical is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Koontz, Stanley-Southeastern Ohio Regional Medical is Emily Diaz, 1341 Clark St, Cambridge, OH 43725. This licensed professional license is current. The license was granted 08/09/2012 and expired on 01/31/2015.

Ohio

Board of Licensing

Koontz, Stanley-Southeastern Ohio Regional Medical
Medical Board - 41.Pa Supervision Agreement
License number
41.15039-SA
Date granted
08/09/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Emily Diaz, 1341 Clark St, Cambridge, OH 43725
ohiolicensing.org
ID 29517779
LAST UPDATED 2026-05-19 15:10:19 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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