Ohio
Board of Licensing
Johnson, Gene-Lake Health
Medical Board - 41.Pa Supervision Agreement
License number
41.18379-SA
Date granted
06/19/2014
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 29580749
LAST UPDATED 2024-03-03 04:49:31 UTC
LAST UPDATED 2024-03-03 04:49:31 UTC