Ohio
Board of Licensing
Southall, Lenzy-Clinicare Consultants
Medical Board - 41.Pa Supervision Agreement
License number
41.6048-SA
Date granted
08/04/2005
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Galena, OH 43021
ohiolicensing.org
ID 28793432
LAST UPDATED 2024-03-17 09:31:02 UTC
LAST UPDATED 2024-03-17 09:31:02 UTC