License holder summary

Decates, Andre - Lake Hospital Systems is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Decates, Andre - Lake Hospital Systems is 36000 Euclid AVe.,, Willoughby,, OH 44094. This licensed professional license is not current. The license was granted 09/22/2003 and expired on 01/31/2005.

Ohio

Board of Licensing

Decates, Andre - Lake Hospital Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.2527-SA
Date granted
09/22/2003
Date expires
01/31/2005
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
36000 Euclid AVe.,, Willoughby,, OH 44094
ohiolicensing.org
ID 28676303
LAST UPDATED 2026-05-31 17:17:06 UTC

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