License holder summary

San Nicolas, Nicanor-Health Source of Ohio is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for San Nicolas, Nicanor-Health Source of Ohio is 218 Stern Drive, Suite A, Seaman, OH 45679. This licensed professional license is current. The license was granted 01/23/2002 and expired on 01/31/2015.

Ohio

Board of Licensing

San Nicolas, Nicanor-Health Source of Ohio
Medical Board - 41.Pa Supervision Agreement
License number
41.1940-SA
Date granted
01/23/2002
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
218 Stern Drive, Suite A, Seaman, OH 45679
ohiolicensing.org
ID 28675674
LAST UPDATED 2026-06-21 12:12:30 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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