Ohio
Board of Licensing
Payson, Susan-Fayette County Emergency Room
Medical Board - 41.Pa Supervision Agreement
License number
41.8688-SA
Date granted
11/27/2007
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
1430 Columbus Ave, Washington Court House, OH 43160
ohiolicensing.org
ID 28958045
LAST UPDATED 2024-04-23 13:08:34 UTC
LAST UPDATED 2024-04-23 13:08:34 UTC