Ohio
Board of Licensing
Smith, Lane-Stark County Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.12939-SA
Date granted
04/25/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1320 Mercy Dr., NW, Canton, OH 44708
ohiolicensing.org
ID 29417100
LAST UPDATED 2024-04-30 11:11:43 UTC
LAST UPDATED 2024-04-30 11:11:43 UTC
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