Ohio
Board of Licensing
Shipley, Jacob-Pain Associates of NE Ohio
Medical Board - 41.Pa Supervision Agreement
License number
41.18565-SA
Date granted
07/28/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Lynn Lazzocco, 7067 Tiffany Blvd #230, Poland, OH 44514
ohiolicensing.org
ID 29583615
LAST UPDATED 2024-04-09 00:51:52 UTC
LAST UPDATED 2024-04-09 00:51:52 UTC