Ohio
Board of Licensing
Bodzin, Gordon-Lake Health
Medical Board - 41.Pa Supervision Agreement
License number
41.18368-SA
Date granted
06/18/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
36000 Euclid Ave., Sally Haaser, Willoughby, OH 44094
ohiolicensing.org
ID 29580659
LAST UPDATED 2026-05-12 01:14:53 UTC
LAST UPDATED 2026-05-12 01:14:53 UTC