Ohio
Board of Licensing
Bailey, Shane - OPMG
Medical Board - 41.Pa Supervision Agreement
License number
41.4034-SA
Date granted
12/01/2003
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
1001 Lakeside Ave., #1200, Cleveland,, OH 44114
ohiolicensing.org
ID 28677935
LAST UPDATED 2024-04-09 20:51:39 UTC
LAST UPDATED 2024-04-09 20:51:39 UTC