Ohio
Board of Licensing
Jacobson, Bruce - Lake Hospital Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.3007-SA
Date granted
04/19/2001
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
36100 Euclid Ave.,, Suite 450, Willoughby, OH 44094
ohiolicensing.org
ID 28676828
LAST UPDATED 2026-04-08 16:09:38 UTC
LAST UPDATED 2026-04-08 16:09:38 UTC