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 2024-03-25 10:31:50 UTC
LAST UPDATED 2024-03-25 10:31:50 UTC