Scott, Jack-Lake Health Emergency Physicians

Medical Board - 41.Pa Supervision Agreement

Ohio  41.12695-SA   Active (In Renewal)

This Ohio license is held by Scott, Jack-Lake Health Emergency Physicians. The license is currently active. It was granted on 02/28/2011 and expired on 01/31/2015

LICENSE DETAILS

  • License Number: 41.12695-SA
  • Category: 41.PA Supervision Agreement
  • Status: Active (In Renewal)
  • Date Granted: 02/28/2011 (over 13 years ago)
  • Expiry Date: 01/31/2015 (over 9 years ago)

LOCATIONS

A Practice Address

Sally Haaser, 36000 Euclid Ave, Willoughby, OH 44094