Ohio
Board of Licensing
Evans, Virginia-Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.7542-SA
Date granted
01/04/2007
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Lakewood Hospital, 14519 Detroit Ave, Lakewood, OH 44107
ohiolicensing.org
ID 28931123
LAST UPDATED 2024-04-17 12:07:47 UTC
LAST UPDATED 2024-04-17 12:07:47 UTC