Ohio
Board of Licensing
Lacey, Stephen-UH Health System
Medical Board - 41.Pa Supervision Agreement
License number
41.14787-SA
Date granted
06/18/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1000 Auburn Dr, Ste 210, Karen Doran, Beachwood, OH 44122
ohiolicensing.org
ID 29512877
LAST UPDATED 2024-04-23 07:02:20 UTC
LAST UPDATED 2024-04-23 07:02:20 UTC