Ohio
Board of Licensing
Lane, James S. - OPMG
Medical Board - 41.Pa Supervision Agreement
License number
41.2942-SA
Date granted
02/14/2001
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
5105 Som Center Road, Willoughby, OH 44094
ohiolicensing.org
ID 28676755
LAST UPDATED 2024-05-01 00:32:02 UTC
LAST UPDATED 2024-05-01 00:32:02 UTC