Ohio
Board of Licensing
Srinivasa, Vijay-Healthsource of Ohio
Medical Board - 41.Pa Supervision Agreement
License number
41.12169-SA
Date granted
11/03/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Eastside Pediatrics, 559 Old St. Rt. 74, Cincinnati, OH 45244-1518
ohiolicensing.org
ID 29397614
LAST UPDATED 2024-02-15 22:16:38 UTC
LAST UPDATED 2024-02-15 22:16:38 UTC