Ohio
Board of Licensing
Parker, Brandon-Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.12488-SA
Date granted
01/06/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Lakewood Hospital, 14519 Detroit Ave, Lakewood, OH 44107
ohiolicensing.org
ID 29401295
LAST UPDATED 2024-03-09 12:14:48 UTC
LAST UPDATED 2024-03-09 12:14:48 UTC