Hackney, David-Columbus Neighborhood Health
Medical Board - 41.Pa Supervision Agreement
Ohio 41.5618-SA Inactive
This Ohio license was held by Hackney, David-Columbus Neighborhood Health. The license is no longer active. It was granted on 03/21/2005 and expired on 01/31/2007
LICENSE DETAILS
- License Number: 41.5618-SA
- Category: 41.PA Supervision Agreement
- Status: Inactive
- Date Granted: 03/21/2005 (about 19 years ago)
- Expiry Date: 01/31/2007 (over 17 years ago)
LOCATIONS
A Practice Address
Attn Dr. Walzak, 1260 N. HIgh St., Columbus, OH 43201