Ohio
Board of Licensing
Koontz, Stanley-EMS/SEC
Medical Board - 41.Pa Supervision Agreement
License number
41.6060-SA
Date granted
08/11/2005
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Shelly Rooks, 20 Prestige Plaza #100, Miamisburg, OH 45342
ohiolicensing.org
ID 28794164
LAST UPDATED 2024-05-09 23:51:41 UTC
LAST UPDATED 2024-05-09 23:51:41 UTC