Ohio
Board of Licensing
Wallis, Nicole-CCF-Emergency Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.8259-SA
Date granted
07/19/2007
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
ESi, 9500 Euclid Ave E19, Cleveland, OH 44195
ohiolicensing.org
ID 28948656
LAST UPDATED 2024-04-08 14:32:33 UTC
LAST UPDATED 2024-04-08 14:32:33 UTC