Ohio
Board of Licensing
Cook, Lydia-OH Permanente Medical Group
Medical Board - 41.Pa Supervision Agreement
License number
41.15299-SA
Date granted
09/05/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
10 Severance Cir., Cleveland Heights, OH 44118
ohiolicensing.org
ID 29520677
LAST UPDATED 2024-04-11 00:29:08 UTC
LAST UPDATED 2024-04-11 00:29:08 UTC