License holder summary

Davis, Lisa - Lake Hospital Systems is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Davis, Lisa - Lake Hospital Systems is 36100 Euclid AVe., #490, Willoughby,, OH 44094. This licensed professional license is not current. The license was granted 01/21/2004 and expired on 01/31/2011.

Ohio

Board of Licensing

Davis, Lisa - Lake Hospital Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.4220-SA
Date granted
01/21/2004
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
36100 Euclid AVe., #490, Willoughby,, OH 44094
ohiolicensing.org
ID 28678138
LAST UPDATED 2024-03-03 19:21:07 UTC

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