License holder summary

Niesen, Jennifer-Women's Health For Life is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Niesen, Jennifer-Women's Health For Life is Attn: Staci Ketchum, 1005 Bellefontaine Ave #175, Lima, OH 45804. This licensed professional license is current. The license was granted 10/18/2007 and expired on 01/31/2015.

Ohio

Board of Licensing

Niesen, Jennifer-Women's Health For Life
Medical Board - 41.Pa Supervision Agreement
License number
41.8572-SA
Date granted
10/18/2007
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Attn: Staci Ketchum, 1005 Bellefontaine Ave #175, Lima, OH 45804
ohiolicensing.org
ID 28955627
LAST UPDATED 2026-04-26 07:04:23 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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