Martin, Benjamin-Central Ohio Urology

Medical Board - 41.Pa Supervision Agreement

Ohio  41.9772-SA   Inactive

This Ohio license was held by Martin, Benjamin-Central Ohio Urology. The license is no longer active. It was granted on 11/10/2008 and expired on 01/31/2011

LICENSE DETAILS

  • License Number: 41.9772-SA
  • Category: 41.PA Supervision Agreement
  • Status: Inactive
  • Date Granted: 11/10/2008 (over 15 years ago)
  • Expiry Date: 01/31/2011 (over 13 years ago)

LOCATIONS

A Practice Address

5969 E. Broad St.,, Columbus, OH 43213