Ohio
Board of Licensing
Wallen, Michelle- Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.17222-SA
Date granted
09/20/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1730 W. 25th St., Lutheran Hospital, Cleveland, OH 44113
ohiolicensing.org
ID 29557053
LAST UPDATED 2026-05-02 15:43:32 UTC
LAST UPDATED 2026-05-02 15:43:32 UTC