Ohio
Board of Licensing
The Ridge
Medical Board - 92.Treatment Provider
License number
92.49
Date granted
05/10/2012
Date expires
05/10/2015
Class
Medical Board - 92.Treatment Provider
Status
Active
Address
Batavia, OH 45103
ohiolicensing.org
ID 29510497
LAST UPDATED 2024-04-08 05:24:45 UTC
LAST UPDATED 2024-04-08 05:24:45 UTC