License holder summary

Botham, Mark- Lake Health is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Botham, Mark- Lake Health is 36000 Euclid Ave., Sally Haaser, Willoughby, OH 44094. This licensed professional license is current. The license was granted 06/18/2014 and expired on 01/31/2015.

Ohio

Board of Licensing

Botham, Mark- Lake Health
Medical Board - 41.Pa Supervision Agreement
License number
41.18369-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 29580660
LAST UPDATED 2026-05-09 15:41:56 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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