License holder summary

Hissa, Edwin - Lake Hospital Systems is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Hissa, Edwin - Lake Hospital Systems is P O Box 606, Gates Mills, OH 44060. This licensed professional license is not current. The license was granted 07/08/2002 and expired on 01/31/2009.

Ohio

Board of Licensing

Hissa, Edwin - Lake Hospital Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.2182-SA
Date granted
07/08/2002
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
P O Box 606, Gates Mills, OH 44060
ohiolicensing.org
ID 28675932
LAST UPDATED 2024-05-07 01:39:57 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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