Ohio
Board of Licensing
Mapes, Kenneth-Lake Health Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.13101-SA
Date granted
06/07/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Sally Haaser, 36000 Euclid Ave, Willoughby, OH 44094
ohiolicensing.org
ID 29430530
LAST UPDATED 2024-05-11 07:34:51 UTC
LAST UPDATED 2024-05-11 07:34:51 UTC
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