Fark, Alan-New Century Physicians

Medical Board - 41.Pa Supervision Agreement

Ohio  41.12067-SA   Inactive

This Ohio license was held by Fark, Alan-New Century Physicians. The license is no longer active. It was granted on 10/19/2010 and expired on 01/31/2015

LICENSE DETAILS

  • License Number: 41.12067-SA
  • Category: 41.PA Supervision Agreement
  • Status: Inactive
  • Date Granted: 10/19/2010 (over 13 years ago)
  • Expiry Date: 01/31/2015 (about 9 years ago)

LOCATIONS

A Practice Address

Joint Township District Hospital, 200 St. Clair St., St. Mary's, OH 45885