License holder summary

Tackett, Jason-New Century Physicians is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Tackett, Jason-New Century Physicians is 332 Congress Park Dr, Dayton, OH 45459. This licensed professional license is not current. The license was granted 12/17/2004 and expired on 01/31/2011.

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

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