Ohio
Board of Licensing
Moallem, Mohannad-Nationwide Children's Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.14485-SA
Date granted
03/28/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Diana Crenshaw, 700 Children's Dr., Columbus, OH 43205
ohiolicensing.org
ID 29501562
LAST UPDATED 2024-03-25 23:50:20 UTC
LAST UPDATED 2024-03-25 23:50:20 UTC