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 2024-03-14 16:14:56 UTC
LAST UPDATED 2024-03-14 16:14:56 UTC