Ohio
Board of Licensing
Hay, Jack-Lake Emergency Services
Medical Board - 41.Pa Supervision Agreement
License number
41.11430-SA
Date granted
04/14/2010
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
36000 Euclid Ave, Willoughby, OH 44094
ohiolicensing.org
ID 29381375
LAST UPDATED 2026-06-01 21:26:12 UTC
LAST UPDATED 2026-06-01 21:26:12 UTC