License holder summary

Wilson, Lawrence - Lake County Family Practice is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Wilson, Lawrence - Lake County Family Practice is 9500 Mentor Ave., #100, Mentor, OH 44060. This licensed professional license is current. The license was granted 09/26/2000 and expired on 01/31/2015.

Ohio

Board of Licensing

Wilson, Lawrence - Lake County Family Practice
Medical Board - 41.Pa Supervision Agreement
License number
41.1347-SA
Date granted
09/26/2000
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
9500 Mentor Ave., #100, Mentor, OH 44060
ohiolicensing.org
ID 28675034
LAST UPDATED 2024-01-28 04:48:46 UTC

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