Ohio
Board of Licensing
Leavitt, Douglas - Lake Health Emerg. Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.14932-SA
Date granted
07/31/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
6720 North Ridge Rd., Madison Medical Center, Madison, OH 44057
ohiolicensing.org
ID 29516687
LAST UPDATED 2024-04-02 03:35:17 UTC
LAST UPDATED 2024-04-02 03:35:17 UTC
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