License holder summary

TACY JANE SHUPERT is a Medical Board - 32.Ct S Group licensed to practice in Ohio. The address on file for TACY JANE SHUPERT is 651 RAINES RD, SEAMAN, OH 45679. This licensed professional license is current. The license was granted 01/11/2002 and expired on 01/01/2018.

Ohio

Board of Licensing

TACY JANE SHUPERT
Medical Board - 32.Ct S Group
License number
32.011312-S
Date granted
01/11/2002
Date expires
01/01/2018
Class
Medical Board - 32.Ct S Group
Status
Active
Address
651 RAINES RD, SEAMAN, OH 45679
ohiolicensing.org
ID 28507843
LAST UPDATED 2024-05-17 15:32:58 UTC

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