License holder summary

Broniak, Frederick-Lake Health Emergency Physician is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Broniak, Frederick-Lake Health Emergency Physician is Sally Haaser, 36000 Euclid Ave MSO, Willoughby, OH 44094. This licensed professional license is current. The license was granted 11/08/2011 and expired on 01/31/2015.

Ohio

Board of Licensing

Broniak, Frederick-Lake Health Emergency Physician
Medical Board - 41.Pa Supervision Agreement
License number
41.13834-SA
Date granted
11/08/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Sally Haaser, 36000 Euclid Ave MSO, Willoughby, OH 44094
ohiolicensing.org
ID 29484039
LAST UPDATED 2024-05-03 05:47:51 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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