Ohio
Board of Licensing
Haynesworth, Dominic - Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.2351-SA
Date granted
06/11/1999
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
7123 Pearl Rd., #201, Middleburg Hts., OH 44130-4900
ohiolicensing.org
ID 28676116
LAST UPDATED 2026-06-20 20:13:25 UTC
LAST UPDATED 2026-06-20 20:13:25 UTC