Ohio
Board of Licensing
Longville, Susan - Emergency Medicine Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.2697-SA
Date granted
12/31/2002
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
4535 Dressler Rd., NW, Attn: Credentialing Department, Canton, OH 44718
ohiolicensing.org
ID 28676485
LAST UPDATED 2024-04-16 17:36:30 UTC
LAST UPDATED 2024-04-16 17:36:30 UTC