Ohio
Board of Licensing
Lakes, Michale-Qualified Emergency Specialists
Medical Board - 41.Pa Supervision Agreement
License number
41.12741-SA
Date granted
03/08/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Kris Siegel, 375 Dixmyth Ave, Cincinnati, OH 45220
ohiolicensing.org
ID 29406238
LAST UPDATED 2026-04-10 22:06:23 UTC
LAST UPDATED 2026-04-10 22:06:23 UTC