Ohio
Board of Licensing
Ottaviano, J-Fayette County Emergency Room
Medical Board - 41.Pa Supervision Agreement
License number
41.6665-SA
Date granted
12/13/2005
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
1430 Columbus Ave, Washington CH, OH 44260
ohiolicensing.org
ID 28858627
LAST UPDATED 2024-04-04 08:18:53 UTC
LAST UPDATED 2024-04-04 08:18:53 UTC