Ohio
Board of Licensing
Richardson, Gary-Northern Ohio Emergency Physician
Medical Board - 41.Pa Supervision Agreement
License number
41.8321-SA
Date granted
08/07/2007
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Affinity Medical Center, 875 8th St NE, Massillon, OH 44646
ohiolicensing.org
ID 28950149
LAST UPDATED 2026-06-15 15:06:48 UTC
LAST UPDATED 2026-06-15 15:06:48 UTC