Ohio
Board of Licensing
Ulhaq, Ata-SEORMC
Medical Board - 41.Pa Supervision Agreement
License number
41.14148-SA
Date granted
02/01/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Emily Diaz, 1341 Clark St.,, Cambridge, OH 43725
ohiolicensing.org
ID 29490055
LAST UPDATED 2024-02-25 13:12:22 UTC
LAST UPDATED 2024-02-25 13:12:22 UTC