License holder summary

Wiese, Edward - Ashtabula County Medical Center is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Wiese, Edward - Ashtabula County Medical Center is 2422 Lake Ave., Ashtabula, OH 44004. This licensed professional license is not current. The license was granted 01/07/1999 and expired on 01/31/2005.

Ohio

Board of Licensing

Wiese, Edward - Ashtabula County Medical Center
Medical Board - 41.Pa Supervision Agreement
License number
41.4478-SA
Date granted
01/07/1999
Date expires
01/31/2005
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
2422 Lake Ave., Ashtabula, OH 44004
ohiolicensing.org
ID 28678424
LAST UPDATED 2024-05-13 23:10:36 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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