License holder summary

Mickunas, Gregory-Holzer is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Mickunas, Gregory-Holzer is 100 Jackson Pike, Shana Booher, Gallipolis, OH 45631. This licensed professional license is current. The license was granted 09/17/2014 and expired on 01/31/2017.

Ohio

Board of Licensing

Mickunas, Gregory-Holzer
Medical Board - 41.Pa Supervision Agreement
License number
41.18793-SA
Date granted
09/17/2014
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
100 Jackson Pike, Shana Booher, Gallipolis, OH 45631
ohiolicensing.org
ID 29587517
LAST UPDATED 2026-06-15 12:30:40 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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