License holder summary

Ellis, Forrest-Southwest General Health Center is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Ellis, Forrest-Southwest General Health Center is Donna Williams PA-C, 18697 Bagley Rd., Middleburg Hts., OH 441303497. This licensed professional license is not current. The license was granted 03/17/2005 and expired on 01/31/2011.

Ohio

Board of Licensing

Ellis, Forrest-Southwest General Health Center
Medical Board - 41.Pa Supervision Agreement
License number
41.5581-SA
Date granted
03/17/2005
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Donna Williams PA-C, 18697 Bagley Rd., Middleburg Hts., OH 441303497
ohiolicensing.org
ID 28690626
LAST UPDATED 2026-06-02 01:58:52 UTC

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