Ohio
Board of Licensing
Waller, Theodore-Ohio Heart & Vascular Center
Medical Board - 41.Pa Supervision Agreement
License number
41.8299-SA
Date granted
08/06/2007
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
2123 Auburn Ave, Cincinnati, OH 45219
ohiolicensing.org
ID 28950010
LAST UPDATED 2024-04-18 08:33:30 UTC
LAST UPDATED 2024-04-18 08:33:30 UTC