Pozuelo, Maria de Fatima-Lake Medical Research

Medical Board - 41.Pa Supervision Agreement

Ohio  41.9860-SA   Inactive

This Ohio license was held by Pozuelo, Maria de Fatima-Lake Medical Research. The license is no longer active. It was granted on 12/02/2008 and expired on 01/31/2013

LICENSE DETAILS

  • License Number: 41.9860-SA
  • Category: 41.PA Supervision Agreement
  • Status: Inactive
  • Date Granted: 12/02/2008 (over 15 years ago)
  • Expiry Date: 01/31/2013 (over 11 years ago)

LOCATIONS

A Practice Address

Michael Moyer, 35040 Chardon rd., #210, Willoughby Hills, OH 44094