Ohio
Board of Licensing
Lake, Kevin - Columbus Southern Medical Center
Medical Board - 41.Pa Supervision Agreement
License number
41.1914-SA
Date granted
01/04/2002
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
2912 S. High St.,, Columbus, OH 43207
ohiolicensing.org
ID 28675646
LAST UPDATED 2024-04-24 19:39:50 UTC
LAST UPDATED 2024-04-24 19:39:50 UTC