LISA JANE AGNEW

Medical Board - 33.Lmt A B Group

Ohio  33.012744-A-B   Active

This Ohio license is held by LISA JANE AGNEW. The license is currently active. It was granted on 01/16/2004 and expired on 07/01/2015

LICENSE DETAILS

  • License Number: 33.012744-A-B
  • Category: 33.LMT - A-B group
  • Status: Active
  • Date Granted: 01/16/2004 (over 20 years ago)
  • Expiry Date: 07/01/2015 (almost 9 years ago)

LOCATIONS

A Residence Address

WAYNESFIELD, OH 45896