Ohio
Board of Licensing
Privitera, Jerome-Lake Health
Medical Board - 41.Pa Supervision Agreement
License number
41.13052-SA
Date granted
05/25/2011
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Sally Haaser, 36000 Euclid Ave, Willoughby, OH 44094
ohiolicensing.org
ID 29427322
LAST UPDATED 2024-03-12 14:30:13 UTC
LAST UPDATED 2024-03-12 14:30:13 UTC