Ohio
Board of Licensing
Riveron, Ricardo-Holzer
Medical Board - 41.Pa Supervision Agreement
License number
41.19069-SA
Date granted
11/05/2014
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
500 Burlington Rd., Shana Booner, Jackson, OH 45640
ohiolicensing.org
ID 29590472
LAST UPDATED 2024-03-20 09:19:26 UTC
LAST UPDATED 2024-03-20 09:19:26 UTC