License holder summary

Hergenroeder, Patrick-Lake Hospital Systems is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Hergenroeder, Patrick-Lake Hospital Systems is Sally Haaser, 36000 Euclid Ave, Willoughby, OH 44094. This licensed professional license is not current. The license was granted 04/24/2008 and expired on 01/31/2013.

Ohio

Board of Licensing

Hergenroeder, Patrick-Lake Hospital Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.9111-SA
Date granted
04/24/2008
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Sally Haaser, 36000 Euclid Ave, Willoughby, OH 44094
ohiolicensing.org
ID 29010756
LAST UPDATED 2024-03-19 16:34:13 UTC

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