Ohio
Board of Licensing
Old, Matthew - Wexner Medical Center
Medical Board - 41.Pa Supervision Agreement
License number
41.14767-SA
Date granted
06/08/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
320 west 10th ave, Columbus, OH 43210
ohiolicensing.org
ID 29511971
LAST UPDATED 2024-04-09 20:10:00 UTC
LAST UPDATED 2024-04-09 20:10:00 UTC