Ohio
Board of Licensing
Cornicelli, Diane-Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.10108-SA
Date granted
02/18/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Lakewood Hospital, 14519 Detroit Ave, Lakewood, OH 44107
ohiolicensing.org
ID 29348367
LAST UPDATED 2024-05-27 12:13:46 UTC
LAST UPDATED 2024-05-27 12:13:46 UTC
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