Ohio
Board of Licensing
Khaddam, M. Hani-Southwest General Health Center
Medical Board - 41.Pa Supervision Agreement
License number
41.5584-SA
Date granted
03/17/2005
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Donna Williams PA-C, 18697 Bagley Rd., Middleburg Hts., OH 44130
ohiolicensing.org
ID 28690628
LAST UPDATED 2026-05-19 06:41:06 UTC
LAST UPDATED 2026-05-19 06:41:06 UTC