Ohio
Board of Licensing
Pasternak, III, Edmond-Marietta Health Care Physic
Medical Board - 41.Pa Supervision Agreement
License number
41.15553-SA
Date granted
10/16/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
401 Matthew St., Marietta, OH 45750
ohiolicensing.org
ID 29524262
LAST UPDATED 2026-04-10 19:21:25 UTC
LAST UPDATED 2026-04-10 19:21:25 UTC