Ohio
Board of Licensing
Rank, Bruce-Kettering Cardiothoracic & Vascular Su
Medical Board - 41.Pa Supervision Agreement
License number
41.9086-SA
Date granted
04/23/2008
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Kris Wilson, 3533 Southern Blvd #5650, Kettering, OH 45429
ohiolicensing.org
ID 29009137
LAST UPDATED 2026-06-07 02:22:04 UTC
LAST UPDATED 2026-06-07 02:22:04 UTC
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