License holder summary

ITANI, ABDUL - Lake Hospital Systems is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for ITANI, ABDUL - Lake Hospital Systems is Sally Haaser, 36000 Euclid Ave MSO, Willoughby, OH 44094. This licensed professional license is not current. The license was granted 09/22/2003 and expired on 01/31/2013.

Ohio

Board of Licensing

ITANI, ABDUL - Lake Hospital Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.4984-SA
Date granted
09/22/2003
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Sally Haaser, 36000 Euclid Ave MSO, Willoughby, OH 44094
ohiolicensing.org
ID 28678969
LAST UPDATED 2026-05-23 09:09:36 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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