Ohio
Board of Licensing
Shukla, Pranav-Lake Health Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.12892-SA
Date granted
04/11/2011
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 29411975
LAST UPDATED 2024-04-23 06:05:46 UTC
LAST UPDATED 2024-04-23 06:05:46 UTC
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