Ohio
Board of Licensing
Roth, Matt-Promedica Executive Health Program
Medical Board - 41.Pa Supervision Agreement
License number
41.16768-SA
Date granted
06/10/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Tara Bires, 2865 N. Reynolds Rd #260, Toledo, OH 43615
ohiolicensing.org
ID 29548461
LAST UPDATED 2024-06-11 00:52:20 UTC
LAST UPDATED 2024-06-11 00:52:20 UTC