Department of State
Board of Medicine
JWA IL SEO
Medical Physician And Surgeon
License number
MD032906L
Date granted
01/06/1972
Date expires
12/31/1976
Class
Medical Physician And Surgeon
Status
Expired
Address
LORAIN OH 44053
medicinepa.com
ID 37671764
LAST UPDATED 2026-05-06 13:46:58 UTC
LAST UPDATED 2026-05-06 13:46:58 UTC
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