Ohio
Board of Licensing
TARA RAE DETERS
Medical Board - 50.Physician Assistant
License number
50.001931
Date granted
11/06/2002
Date expires
01/31/2008
Class
Medical Board - 50.Physician Assistant
Status
Inactive
Address
1303 BELLEFONTAINE AVE, LIMA, OH 45804
ohiolicensing.org
ID 28508151
LAST UPDATED 2024-05-01 02:33:35 UTC
LAST UPDATED 2024-05-01 02:33:35 UTC