Ohio
Board of Licensing
Yaklic, Jerome-Miami ValleyHospital
Medical Board - 41.Pa Supervision Agreement
License number
41.14548-SA
Date granted
04/05/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
WSU/ BSOM, 128 E. Apple St, Suite 3800 CHE, Dayton, OH 45409
ohiolicensing.org
ID 29503116
LAST UPDATED 2026-06-26 15:49:47 UTC
LAST UPDATED 2026-06-26 15:49:47 UTC