License holder summary

Brent Philip Hazen is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for Brent Philip Hazen is Fairview Hospital, c/o Internal Medicine Dept, 18101 Lorain Avenue, Cleveland, OH 44111. This licensed professional license is not current. The license was granted 03/12/2010 and expired on 06/30/2013.

Ohio

Board of Licensing

Brent Philip Hazen
Medical Board - 57.Md Training Certificate
License number
57.017460
Date granted
03/12/2010
Date expires
06/30/2013
Class
Medical Board - 57.Md Training Certificate
Status
Inactive
Address
Fairview Hospital, c/o Internal Medicine Dept, 18101 Lorain Avenue, Cleveland, OH 44111
ohiolicensing.org
ID 29373755
LAST UPDATED 2024-03-31 08:37:13 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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