License holder summary

Pankow, Nikolaus-OH Permanente Medical Group is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Pankow, Nikolaus-OH Permanente Medical Group is 36711 Center Rd., Avon, OH 44011. This licensed professional license is current. The license was granted 09/06/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Pankow, Nikolaus-OH Permanente Medical Group
Medical Board - 41.Pa Supervision Agreement
License number
41.17157-SA
Date granted
09/06/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
36711 Center Rd., Avon, OH 44011
ohiolicensing.org
ID 29555940
LAST UPDATED 2026-04-22 16:24:12 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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