License holder summary

Tanneru, Padamaja-Licking Memorial Internal Med is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Tanneru, Padamaja-Licking Memorial Internal Med is 120 McMillen Dr., Angel Wilson, Newark, OH 43055. This licensed professional license is current. The license was granted 05/20/2014 and expired on 01/31/2015.

Ohio

Board of Licensing

Tanneru, Padamaja-Licking Memorial Internal Med
Medical Board - 41.Pa Supervision Agreement
License number
41.18222-SA
Date granted
05/20/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
120 McMillen Dr., Angel Wilson, Newark, OH 43055
ohiolicensing.org
ID 29577654
LAST UPDATED 2026-06-15 01:17:05 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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