License holder summary

Michael Andrew Jack is a Medical Board - 59.Dpm Training Certificate licensed to practice in Ohio. The address on file for Michael Andrew Jack is Alliance Community Hospital, c/o Medical Education Dept-Podiatry, 200 East State Street, Alliance, OH 44601. This licensed professional license is current. The license was granted 10/21/2014 and expired on 06/22/2015.

Ohio

Board of Licensing

Michael Andrew Jack
Medical Board - 59.Dpm Training Certificate
License number
59.000519
Date granted
10/21/2014
Date expires
06/22/2015
Class
Medical Board - 59.Dpm Training Certificate
Status
Active
Address
Alliance Community Hospital, c/o Medical Education Dept-Podiatry, 200 East State Street, Alliance, OH 44601
ohiolicensing.org
ID 29578842
LAST UPDATED 2024-04-22 20:20:15 UTC

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