Ohio
Board of Licensing
Nicole Marie Burgbacher
Medical Board - 50.Physician Assistant
License number
50.002158
Date granted
08/03/2004
Date expires
01/31/2016
Class
Medical Board - 50.Physician Assistant
Status
Active
Address
4160 Little York Road, Suite 10, Dayton, OH 45414
ohiolicensing.org
ID 28564957
LAST UPDATED 2024-05-04 02:43:21 UTC
LAST UPDATED 2024-05-04 02:43:21 UTC