License holder summary

Martin, Derrick - Martin Surgical Associates is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Martin, Derrick - Martin Surgical Associates is 30 E. Apple St, Suite 6258, Dayton, OH 45409. This licensed professional license is not current. The license was granted 07/11/2003 and expired on 01/31/2007.

Ohio

Board of Licensing

Martin, Derrick - Martin Surgical Associates
Medical Board - 41.Pa Supervision Agreement
License number
41.3368-SA
Date granted
07/11/2003
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
30 E. Apple St, Suite 6258, Dayton, OH 45409
ohiolicensing.org
ID 28677220
LAST UPDATED 2024-04-21 04:18:13 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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