Ohio
Board of Licensing
Kwiatek, Kim - EMS/SEC
Medical Board - 41.Pa Supervision Agreement
License number
41.2156-SA
Date granted
06/06/2002
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
20 Prestige Plaza #100, Miamisburg, OH 45342
ohiolicensing.org
ID 28675905
LAST UPDATED 2024-03-25 14:20:57 UTC
LAST UPDATED 2024-03-25 14:20:57 UTC