License holder summary

Dr. NATHANAEL OETOYO SIDHARTA is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. NATHANAEL OETOYO SIDHARTA is 1535 Jackson Ave NW, Massillon, OH 44646. This doctor license is current. The license was granted 12/10/1980 and expired on 01/01/2018.

Ohio

State Medical Board of Ohio

Dr. NATHANAEL OETOYO SIDHARTA
Medical Board - 35.Doctor Of Medicine
License number
35.045654
Date granted
12/10/1980
Date expires
01/01/2018
Class
Medical Board - 35.Doctor Of Medicine
Status
Active
Address
1535 Jackson Ave NW, Massillon, OH 44646
doctorsohio.org
ID 28481608
LAST UPDATED 2024-03-19 09:51:08 UTC

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