License holder summary

Lake, Kevin- Merion Village Family Practice is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Lake, Kevin- Merion Village Family Practice is 1430 S High St., Vivian Lauterbach, Columbus, OH 43207. This licensed professional license is current. The license was granted 05/20/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Lake, Kevin- Merion Village Family Practice
Medical Board - 41.Pa Supervision Agreement
License number
41.16666-SA
Date granted
05/20/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1430 S High St., Vivian Lauterbach, Columbus, OH 43207
ohiolicensing.org
ID 29546350
LAST UPDATED 2024-04-29 08:31:06 UTC

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

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