Ohio
Board of Licensing
Thammavong, Roulay-FCMH Medical & Surgical Assocs
Medical Board - 41.Pa Supervision Agreement
License number
41.10633-SA
Date granted
08/10/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1450 Columbus Ave #104, Washington CH, OH 43160
ohiolicensing.org
ID 29364372
LAST UPDATED 2026-08-19 10:24:46 UTC
LAST UPDATED 2026-08-19 10:24:46 UTC