Kostick, Jill-Southern Ohio Emergency Physicians

Medical Board - 41.Pa Supervision Agreement

Ohio  41.11237-SA   Inactive

This Ohio license was held by Kostick, Jill-Southern Ohio Emergency Physicians. The license is no longer active. It was granted on 02/12/2010 and expired on 01/31/2011

LICENSE DETAILS

  • License Number: 41.11237-SA
  • Category: 41.PA Supervision Agreement
  • Status: Inactive
  • Date Granted: 02/12/2010 (over 14 years ago)
  • Expiry Date: 01/31/2011 (over 13 years ago)

LOCATIONS

A Practice Address

Fayette County Memorial Hospital, 1430 Columbus Ave, Washington Court House, OH 43160