Ohio
Board of Licensing
Wallace, Matthew-UC Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.18927-SA
Date granted
10/10/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
234 Goodman St, Cincinnati, OH 45219
ohiolicensing.org
ID 29589068
LAST UPDATED 2026-03-23 14:27:33 UTC
LAST UPDATED 2026-03-23 14:27:33 UTC