Ohio
Board of Licensing
Wagenaar, James-Holzer
Medical Board - 41.Pa Supervision Agreement
License number
41.19060-SA
Date granted
11/04/2014
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
500 Burlington Rd., Shana Booner, Jackson, OH 45640
ohiolicensing.org
ID 29590400
LAST UPDATED 2024-04-19 17:02:03 UTC
LAST UPDATED 2024-04-19 17:02:03 UTC