Ohio
Board of Licensing
Tackett, Jason-New Century Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.5165-SA
Date granted
12/17/2004
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
332 Congress Park Dr, Dayton, OH 45459
ohiolicensing.org
ID 28683694
LAST UPDATED 2024-02-24 02:23:18 UTC
LAST UPDATED 2024-02-24 02:23:18 UTC