License holder summary

STACEY M BOOTH is a Medical Board - 51.Temporary Physician Assistant licensed to practice in Ohio. The address on file for STACEY M BOOTH is COLUMBUS, OH 43212. This licensed professional license is not current. The license was granted 01/01/2000 and expired on 01/31/1990.

Ohio

Board of Licensing

STACEY M BOOTH
Medical Board - 51.Temporary Physician Assistant
License number
51.990099
Date granted
01/01/2000
Date expires
01/31/1990
Class
Medical Board - 51.Temporary Physician Assistant
Status
Inactive
Address
COLUMBUS, OH 43212
ohiolicensing.org
ID 28503959
LAST UPDATED 2024-05-03 12:28:39 UTC

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