Ohio
Board of Licensing
Shintre, Lata-OPMG
Medical Board - 41.Pa Supervision Agreement
License number
41.9159-SA
Date granted
05/08/2008
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Avon Medical Office, 36711 Center Rd, Avon, OH 44011
ohiolicensing.org
ID 29012361
LAST UPDATED 2024-03-19 05:34:32 UTC
LAST UPDATED 2024-03-19 05:34:32 UTC