Ohio
Board of Licensing
Brock, Kenneth - EMS/SEC
Medical Board - 41.Pa Supervision Agreement
License number
41.2153-SA
Date granted
06/06/2002
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
20 Prestige Place, Suite 100, Miamisburg, OH 45342
ohiolicensing.org
ID 28675902
LAST UPDATED 2024-05-03 14:13:12 UTC
LAST UPDATED 2024-05-03 14:13:12 UTC