Ohio
Board of Licensing
Miller, Megan-Licking Memorial Family Practice
Medical Board - 41.Pa Supervision Agreement
License number
41.12493-SA
Date granted
01/12/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Patty Banks Chester, 96 H Integrity, Hebron, OH 43025
ohiolicensing.org
ID 29401701
LAST UPDATED 2026-06-13 15:28:24 UTC
LAST UPDATED 2026-06-13 15:28:24 UTC