Ohio
Board of Licensing
Azem, Khalil - Lake Hospital Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.1657-SA
Date granted
07/10/2001
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
2550 SOM Center Road, North Bldg., Willoughby,, OH 44094
ohiolicensing.org
ID 28675368
LAST UPDATED 2026-06-15 00:14:15 UTC
LAST UPDATED 2026-06-15 00:14:15 UTC