License holder summary

STACI DAWN NIEMOTH is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for STACI DAWN NIEMOTH is Ohio State University Hospital, Corporate Credential Ofc-Attn: Anne Smith, 700 Ackerman Road Suite #570, Columbus, OH 43202. This licensed professional license is not current. The license was granted 10/28/2004 and expired on 06/30/2008.

Ohio

Board of Licensing

STACI DAWN NIEMOTH
Medical Board - 57.Md Training Certificate
License number
57.009483
Date granted
10/28/2004
Date expires
06/30/2008
Class
Medical Board - 57.Md Training Certificate
Status
Inactive
Address
Ohio State University Hospital, Corporate Credential Ofc-Attn: Anne Smith, 700 Ackerman Road Suite #570, Columbus, OH 43202
ohiolicensing.org
ID 28520972
LAST UPDATED 2026-04-02 15:44:26 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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