Ohio
Board of Licensing
Fascione, Jeanna-Lake Health Emergency
Medical Board - 41.Pa Supervision Agreement
License number
41.17266-SA
Date granted
09/26/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
36000 Euclid Ave., Sally Haaser, Willoughby, OH 44094
ohiolicensing.org
ID 29557495
LAST UPDATED 2026-07-01 07:11:33 UTC
LAST UPDATED 2026-07-01 07:11:33 UTC