Jacobs, Edward-Lima Urology

Medical Board - 41.Pa Supervision Agreement

Ohio  41.10009-SA   Active (In Renewal)

This Ohio license is held by Jacobs, Edward-Lima Urology. The license is currently active. It was granted on 01/21/2009 and expired on 01/31/2015

LICENSE DETAILS

  • License Number: 41.10009-SA
  • Category: 41.PA Supervision Agreement
  • Status: Active (In Renewal)
  • Date Granted: 01/21/2009 (over 16 years ago)
  • Expiry Date: 01/31/2015 (over 10 years ago)

LOCATIONS

A Practice Address

Debi Blankenship, 770 W. High St., #350, Lima, OH 45801