Ohio
Board of Licensing
Winner, David-Defiance Family Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.15043-SA
Date granted
08/09/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Lisa Hacker, 1250 Ralston Ave, Defiance, OH 43512
ohiolicensing.org
ID 29517797
LAST UPDATED 2024-04-23 21:06:13 UTC
LAST UPDATED 2024-04-23 21:06:13 UTC