Forrestal, Kerry - New Century Physicians
Medical Board - 41.Pa Supervision Agreement
Ohio 41.822-SA Inactive
This Ohio license was held by Forrestal, Kerry - New Century Physicians. The license is no longer active. It was granted on 08/18/2004 and expired on 01/31/2009
LICENSE DETAILS
- License Number: 41.822-SA
- Category: 41.PA Supervision Agreement
- Status: Inactive
- Date Granted: 08/18/2004 (almost 20 years ago)
- Expiry Date: 01/31/2009 (over 15 years ago)
LOCATIONS
A Practice Address
332 Congress Park Dr, Dayton, OH 45459