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
LAST UPDATED 2024-01-28 04:48:46 UTC