License holder summary

Stephanie Karin Jacks is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for Stephanie Karin Jacks is Ohio State University Hospital, c/o Corporate Credentialing, Attn: Anne Smith, 700 Ackerman Road Suite #570, Columbus, OH 43202. This licensed professional license is not current. The license was granted 08/04/2009 and expired on 06/16/2014.

Ohio

Board of Licensing

Stephanie Karin Jacks
Medical Board - 57.Md Training Certificate
License number
57.016252
Date granted
08/04/2009
Date expires
06/16/2014
Class
Medical Board - 57.Md Training Certificate
Status
Inactive
Address
Ohio State University Hospital, c/o Corporate Credentialing, Attn: Anne Smith, 700 Ackerman Road Suite #570, Columbus, OH 43202
ohiolicensing.org
ID 29354084
LAST UPDATED 2024-04-26 20:57:51 UTC

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