License holder summary

THEKLA ERVIN LONG is a Medical Board - 33.Lmt L M Group licensed to practice in Ohio. The address on file for THEKLA ERVIN LONG is 2256 FENWICK RD, University Heights, OH 44118. This licensed professional license is current. The license was granted 07/12/1991 and expired on 07/01/2016.

Ohio

Board of Licensing

THEKLA ERVIN LONG
Medical Board - 33.Lmt L M Group
License number
33.005551-L-M
Date granted
07/12/1991
Date expires
07/01/2016
Class
Medical Board - 33.Lmt L M Group
Status
Active
Address
2256 FENWICK RD, University Heights, OH 44118
ohiolicensing.org
ID 28508833
LAST UPDATED 2024-05-10 14:49:20 UTC

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