License holder summary

Wilson, Lance - CCF-Emergency Medicine is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Wilson, Lance - CCF-Emergency Medicine is Attn: Phyllis Gardella, 9500 Euclid Avenue E-19, Cleveland, OH 44195. This licensed professional license is not current. The license was granted 04/02/2004 and expired on 01/31/2013.

Ohio

Board of Licensing

Wilson, Lance - CCF-Emergency Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.4978-SA
Date granted
04/02/2004
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Attn: Phyllis Gardella, 9500 Euclid Avenue E-19, Cleveland, OH 44195
ohiolicensing.org
ID 28678962
LAST UPDATED 2024-01-25 17:12:15 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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