License holder summary

Khaddam, M. Hani-Southwest General Health Center is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Khaddam, M. Hani-Southwest General Health Center is Donna Williams PA-C, 18697 Bagley Rd., Middleburg Hts., OH 44130. This licensed professional license is current. The license was granted 03/17/2005 and expired on 01/31/2015.

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

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