License holder summary

Hazen, Jacalyn- CCF Beachwood Family Health Ctr is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Hazen, Jacalyn- CCF Beachwood Family Health Ctr is 26900 Cedar Rd., Suite 126-S, Kim Cope, Beachwood, OH 44122. This licensed professional license is current. The license was granted 03/06/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Hazen, Jacalyn- CCF Beachwood Family Health Ctr
Medical Board - 41.Pa Supervision Agreement
License number
41.16323-SA
Date granted
03/06/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
26900 Cedar Rd., Suite 126-S, Kim Cope, Beachwood, OH 44122
ohiolicensing.org
ID 29536576
LAST UPDATED 2024-03-25 03:12:40 UTC

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