Jacobsen, Brenda-Springfield Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
Ohio 41.13774-SA Inactive
This Ohio license was held by Jacobsen, Brenda-Springfield Emergency Physicians. The license is no longer active. It was granted on 10/26/2011 and expired on 01/31/2013
LICENSE DETAILS
- License Number: 41.13774-SA
- Category: 41.PA Supervision Agreement
- Status: Inactive
- Date Granted: 10/26/2011 (over 13 years ago)
- Expiry Date: 01/31/2013 (about 12 years ago)
LOCATIONS
A Practice Address
Springfield Regional Medical Center, 2615 E. High St, Springfield, OH 45505