Ohio
Board of Licensing
Cooper, Danielle - Lake County Family Practice
Medical Board - 41.Pa Supervision Agreement
License number
41.3641-SA
Date granted
09/16/2003
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
9500 Mentor Ave., #100, Mentor, OH 44060
ohiolicensing.org
ID 28677510
LAST UPDATED 2024-03-03 22:53:18 UTC
LAST UPDATED 2024-03-03 22:53:18 UTC