Ohio
Board of Licensing
Vito, Liese-Lake Health
Medical Board - 41.Pa Supervision Agreement
License number
41.18388-SA
Date granted
06/19/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
36000 Euclid Ave., Sally Haaser, Willoughby, OH 44094
ohiolicensing.org
ID 29580796
LAST UPDATED 2024-04-25 18:26:15 UTC
LAST UPDATED 2024-04-25 18:26:15 UTC