Ohio
Board of Licensing
Boulanger, Scott-Southwest General Health Center
Medical Board - 41.Pa Supervision Agreement
License number
41.12803-SA
Date granted
03/22/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Donna Williams, 18697 Bagley Rd, Middleburg Hts, OH 44130
ohiolicensing.org
ID 29407941
LAST UPDATED 2024-04-01 10:55:03 UTC
LAST UPDATED 2024-04-01 10:55:03 UTC
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