License holder summary

Baniewicz, John-Lakeheatlh Internal Med is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Baniewicz, John-Lakeheatlh Internal Med is 9485 Mentor Ave., Suite 210, Arlene Rodgers, Mentor, OH 44060. This licensed professional license is current. The license was granted 10/21/2014 and expired on 01/31/2017.

Ohio

Board of Licensing

Baniewicz, John-Lakeheatlh Internal Med
Medical Board - 41.Pa Supervision Agreement
License number
41.18967-SA
Date granted
10/21/2014
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
9485 Mentor Ave., Suite 210, Arlene Rodgers, Mentor, OH 44060
ohiolicensing.org
ID 29589644
LAST UPDATED 2026-06-01 03:10:57 UTC

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