License holder summary

Jawa, Prem-Mentor Surgery Center is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Jawa, Prem-Mentor Surgery Center is 9485 Mentor Ave, Suite 1, Mentor, OH 44060-4597. This licensed professional license is not current. The license was granted 12/06/2004 and expired on 11/27/2006.

Ohio

Board of Licensing

Jawa, Prem-Mentor Surgery Center
Medical Board - 41.Pa Supervision Agreement
License number
41.5143-SA
Date granted
12/06/2004
Date expires
11/27/2006
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
9485 Mentor Ave, Suite 1, Mentor, OH 44060-4597
ohiolicensing.org
ID 28683251
LAST UPDATED 2024-03-01 15:51:30 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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