License holder summary

Richardson, Shoshone-Stark County Emergency Phys is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Richardson, Shoshone-Stark County Emergency Phys is 1320 Mercy Dr., NW, Canton, OH 44708. This licensed professional license is not current. The license was granted 06/29/2005 and expired on 01/31/2011.

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 2024-03-13 14:23:40 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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