Ohio
Board of Licensing
Fortune, Terry - Lake Emergency Services
Medical Board - 41.Pa Supervision Agreement
License number
41.4622-SA
Date granted
03/21/2003
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
6902 Pearl Rd #311, Middleburg Hts.,, OH 44130
ohiolicensing.org
ID 28678580
LAST UPDATED 2026-04-24 11:41:50 UTC
LAST UPDATED 2026-04-24 11:41:50 UTC