License holder summary

Nicholas Vladimir Mizenko is a Medical Board - 58.Do Training Certificate licensed to practice in Ohio. The address on file for Nicholas Vladimir Mizenko is Riverside Methodist Hospital, c/o Internal Medicine Dept, 3535 Olentangy River Road, Columbus, OH 43214. This licensed professional license is current. The license was granted 09/17/2014 and expired on 06/22/2015.

Ohio

Board of Licensing

Nicholas Vladimir Mizenko
Medical Board - 58.Do Training Certificate
License number
58.005499
Date granted
09/17/2014
Date expires
06/22/2015
Class
Medical Board - 58.Do Training Certificate
Status
Active
Address
Riverside Methodist Hospital, c/o Internal Medicine Dept, 3535 Olentangy River Road, Columbus, OH 43214
ohiolicensing.org
ID 29574425
LAST UPDATED 2024-04-23 10:26:45 UTC

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