Ohio
Board of Licensing
Siebenaler, Jack-Oregon Urgent Care & Family Pract
Medical Board - 41.Pa Supervision Agreement
License number
41.5659-SA
Date granted
03/23/2005
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
3232 Navarre Ave., Oregon, OH 43616
ohiolicensing.org
ID 28731582
LAST UPDATED 2024-02-20 10:38:04 UTC
LAST UPDATED 2024-02-20 10:38:04 UTC