Ohio
Board of Licensing
Pine, Richard-Mahoning Valley Emergency Specialist
Medical Board - 41.Pa Supervision Agreement
License number
41.11156-SA
Date granted
01/11/2010
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
St. Elizabeth Boardman Health Center, 8401 Market Street, Youngstown, OH 44512
ohiolicensing.org
ID 29373759
LAST UPDATED 2026-05-18 23:39:29 UTC
LAST UPDATED 2026-05-18 23:39:29 UTC
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