License holder summary

White, Kimberly- Revitalize Medical Group is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for White, Kimberly- Revitalize Medical Group is 4565 Dressler Rd. NW, Jill Wiles, Canton, OH 447718. This licensed professional license is current. The license was granted 06/28/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

White, Kimberly- Revitalize Medical Group
Medical Board - 41.Pa Supervision Agreement
License number
41.16842-SA
Date granted
06/28/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
4565 Dressler Rd. NW, Jill Wiles, Canton, OH 447718
ohiolicensing.org
ID 29550141
LAST UPDATED 2024-02-09 09:52:22 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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