License holder summary

Waggoner, Keith-Emergency Services of Central OH is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Waggoner, Keith-Emergency Services of Central OH is Summa Barberton, 155 Fifth St., NE, Barberton, OH 44203. This licensed professional license is not current. The license was granted 03/21/2012 and expired on 01/31/2013.

Ohio

Board of Licensing

Waggoner, Keith-Emergency Services of Central OH
Medical Board - 41.Pa Supervision Agreement
License number
41.14429-SA
Date granted
03/21/2012
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Summa Barberton, 155 Fifth St., NE, Barberton, OH 44203
ohiolicensing.org
ID 29499796
LAST UPDATED 2024-04-10 06:11:59 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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