Ohio
Board of Licensing
Tarr, Addison-Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.13854-SA
Date granted
11/09/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Good Samaritan Hospitial, 2222 Philadelphia Dr.,, Dayton, OH 45406
ohiolicensing.org
ID 29484160
LAST UPDATED 2026-06-05 13:58:08 UTC
LAST UPDATED 2026-06-05 13:58:08 UTC