Ohio
Board of Licensing
Richardson, Shoshone-Stark County Emergency Phys
Medical Board - 41.Pa Supervision Agreement
License number
41.5903-SA
Date granted
06/29/2005
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
1320 Mercy Dr., NW, Canton, OH 44708
ohiolicensing.org
ID 28790743
LAST UPDATED 2026-08-31 20:09:47 UTC
LAST UPDATED 2026-08-31 20:09:47 UTC
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