Ohio
Board of Licensing
Ko, Timothy-Lake Health Emergency
Medical Board - 41.Pa Supervision Agreement
License number
41.17267-SA
Date granted
09/26/2013
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 29557499
LAST UPDATED 2024-04-23 13:03:57 UTC
LAST UPDATED 2024-04-23 13:03:57 UTC