License holder summary

Muckala, Ashley-Vitas Hospice is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Muckala, Ashley-Vitas Hospice is Connie Reid, 1 Elizabeth Place 5th Floor, Dayton, OH 45417. This licensed professional license is not current. The license was granted 10/13/2010 and expired on 01/31/2013.

Ohio

Board of Licensing

Muckala, Ashley-Vitas Hospice
Medical Board - 41.Pa Supervision Agreement
License number
41.12047-SA
Date granted
10/13/2010
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Connie Reid, 1 Elizabeth Place 5th Floor, Dayton, OH 45417
ohiolicensing.org
ID 29396256
LAST UPDATED 2024-06-23 07:19:41 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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