License holder summary

Villavicencio, Jose-Fayette County Emergency Room is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Villavicencio, Jose-Fayette County Emergency Room is 1430 Columbus Ave., Washington C.H., OH 44260. This licensed professional license is not current. The license was granted 03/22/2005 and expired on 01/31/2007.

Ohio

Board of Licensing

Villavicencio, Jose-Fayette County Emergency Room
Medical Board - 41.Pa Supervision Agreement
License number
41.5639-SA
Date granted
03/22/2005
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
1430 Columbus Ave., Washington C.H., OH 44260
ohiolicensing.org
ID 28731540
LAST UPDATED 2026-06-01 16:56:38 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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