Ohio
Board of Licensing
Patey, Jeffrey-Southeastern Ohio Regional Medical
Medical Board - 41.Pa Supervision Agreement
License number
41.13964-SA
Date granted
12/08/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Emily Diaz, 1341 N. Clark St, Cambridge, OH 43725
ohiolicensing.org
ID 29486069
LAST UPDATED 2026-04-05 13:13:05 UTC
LAST UPDATED 2026-04-05 13:13:05 UTC