Ohio
Board of Licensing
Kottapalli, Ajay - Holzer Clinic
Medical Board - 41.Pa Supervision Agreement
License number
41.1019-SA
Date granted
12/13/1999
Date expires
12/08/2004
Class
Medical Board - 41.Pa Supervision Agreement
Status
Supervision Agreement Terminated
Address
90 Jackson Pike, Gallipolis, OH 45631
ohiolicensing.org
ID 28674683
LAST UPDATED 2026-04-19 06:57:20 UTC
LAST UPDATED 2026-04-19 06:57:20 UTC