Ohio
Board of Licensing
Dergham, Lena-West Side Internal Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.11337-SA
Date granted
03/16/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Tom Atkinson, 24700 Lorain Rd., #207, N. Olmsted, OH 44070
ohiolicensing.org
ID 29378741
LAST UPDATED 2026-06-06 14:10:30 UTC
LAST UPDATED 2026-06-06 14:10:30 UTC