License holder summary

Detore, Nicholas-LakeHealth Internal Med is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Detore, Nicholas-LakeHealth 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 01/31/2016.

Ohio

Board of Licensing

Detore, Nicholas-LakeHealth Internal Med
Medical Board - 41.Pa Supervision Agreement
License number
41.18965-SA
Date granted
10/21/2014
Date expires
01/31/2016
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
9485 Mentor Ave., Suite 210, Arlene Rodgers, Mentor, OH 44060
ohiolicensing.org
ID 29589639
LAST UPDATED 2024-04-29 05:56:51 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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