Ohio
Board of Licensing
Smith, Shane-Wright State Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.12987-SA
Date granted
05/05/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1 Wyoming St.,, Dayton, OH 45409
ohiolicensing.org
ID 29420961
LAST UPDATED 2024-04-29 18:50:43 UTC
LAST UPDATED 2024-04-29 18:50:43 UTC