Ohio
Board of Licensing
Baum, Stephen-LakeHealth Internal Med
Medical Board - 41.Pa Supervision Agreement
License number
41.18963-SA
Date granted
10/20/2014
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
9485 Mentor Ave., Suite 210, Arlene Rodgers, Mentor, OH 44060
ohiolicensing.org
ID 29589587
LAST UPDATED 2024-04-11 00:36:52 UTC
LAST UPDATED 2024-04-11 00:36:52 UTC