License holder summary

Borsellino, Samuel-Lake Health is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Borsellino, Samuel-Lake Health is Sally Haaser, 36000 Euclid Ave, Willoughby, OH 44094. This licensed professional license is current. The license was granted 05/25/2011 and expired on 01/31/2015.

Ohio

Board of Licensing

Borsellino, Samuel-Lake Health
Medical Board - 41.Pa Supervision Agreement
License number
41.13047-SA
Date granted
05/25/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Sally Haaser, 36000 Euclid Ave, Willoughby, OH 44094
ohiolicensing.org
ID 29427250
LAST UPDATED 2024-04-24 07:10:03 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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