License holder summary

Haynesworth, Dominic-Lake Health Emergency Phys is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Haynesworth, Dominic-Lake Health Emergency Phys is Sally Haaser, 36000 Euclid Ave MSO, Willoughby, OH 44094. This licensed professional license is not current. The license was granted 09/19/2011 and expired on 01/31/2013.

Ohio

Board of Licensing

Haynesworth, Dominic-Lake Health Emergency Phys
Medical Board - 41.Pa Supervision Agreement
License number
41.13574-SA
Date granted
09/19/2011
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Sally Haaser, 36000 Euclid Ave MSO, Willoughby, OH 44094
ohiolicensing.org
ID 29480463
LAST UPDATED 2024-02-27 14:26:40 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Haynesworth, Dominic-Lake Health Emergency Phys's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending