Ohio
Board of Licensing
Long, Cory-Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.14254-SA
Date granted
02/28/2012
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 29494271
LAST UPDATED 2024-04-19 00:55:21 UTC
LAST UPDATED 2024-04-19 00:55:21 UTC