Ohio
Board of Licensing
VanMalderen, Nicholas-Mid Ohio Emergency Service
Medical Board - 41.Pa Supervision Agreement
License number
41.13266-SA
Date granted
07/20/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Tina Sullivan, 3535 Olentangy River Rd, Columbus, OH 43214
ohiolicensing.org
ID 29442461
LAST UPDATED 2026-06-06 12:01:24 UTC
LAST UPDATED 2026-06-06 12:01:24 UTC