Ohio
Board of Licensing
Lilly, Larry-Riverside Breast Specialists
Medical Board - 41.Pa Supervision Agreement
License number
41.11004-SA
Date granted
11/18/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Bing Cancer Center, 500 Thomas Lane, Suite 2B, Columbus, OH 43214
ohiolicensing.org
ID 29370855
LAST UPDATED 2026-04-12 09:11:19 UTC
LAST UPDATED 2026-04-12 09:11:19 UTC