Waggoner, Keith-Emergency Services of Central OH
Medical Board - 41.Pa Supervision Agreement
Ohio 41.14429-SA Inactive
This Ohio license was held by Waggoner, Keith-Emergency Services of Central OH. The license is no longer active. It was granted on 03/21/2012 and expired on 01/31/2013
LICENSE DETAILS
- License Number: 41.14429-SA
- Category: 41.PA Supervision Agreement
- Status: Inactive
- Date Granted: 03/21/2012 (over 12 years ago)
- Expiry Date: 01/31/2013 (over 11 years ago)
LOCATIONS
A Practice Address
Summa Barberton, 155 Fifth St., NE, Barberton, OH 44203