Jacqueline Anne Van Manen
Medical Board - 58.Do Training Certificate
Ohio 58.012942 Inactive
This Ohio license was held by Jacqueline Anne Van Manen. The license is no longer active. It was granted on 05/11/2007 and expired on 03/04/2008
LICENSE DETAILS
- License Number: 58.012942
- Category: 58.DO Training Certificate
- Status: Inactive
- Date Granted: 05/11/2007 (almost 18 years ago)
- Expiry Date: 03/04/2008 (about 17 years ago)
LOCATIONS
A Practice Address
Firelands Regional Hospital, c/o Medical Education Dept, 1912 Hayes Avenue, Sandusky, OH 44870