Ohio
Board of Licensing
Mendoza, Jose-EMSL
Medical Board - 41.Pa Supervision Agreement
License number
41.11790-SA
Date granted
07/27/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Community Regional Medical Center, 3700 Kolbe Rd, Lorain, OH 44053
ohiolicensing.org
ID 29390721
LAST UPDATED 2024-03-28 16:00:30 UTC
LAST UPDATED 2024-03-28 16:00:30 UTC