License holder summary

Mandujano, Alicia-OPMG is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Mandujano, Alicia-OPMG is Avon Medical Office, 36711 Center Rd, Avon, OH 44011. This licensed professional license is not current. The license was granted 01/25/2011 and expired on 01/31/2013.

Ohio

Board of Licensing

Mandujano, Alicia-OPMG
Medical Board - 41.Pa Supervision Agreement
License number
41.12548-SA
Date granted
01/25/2011
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Avon Medical Office, 36711 Center Rd, Avon, OH 44011
ohiolicensing.org
ID 29402714
LAST UPDATED 2026-06-10 21:17:53 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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