Ohio
Board of Licensing
Lupica, Jeffrey- Lake Health Emergency
Medical Board - 41.Pa Supervision Agreement
License number
41.17269-SA
Date granted
09/26/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
36000 Euclid Ave., Sally Haaser, Willoughby, OH 44094
ohiolicensing.org
ID 29557502
LAST UPDATED 2026-06-25 10:32:18 UTC
LAST UPDATED 2026-06-25 10:32:18 UTC