License holder summary

Koczab, Garielle-Portage Family Medicine is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Koczab, Garielle-Portage Family Medicine is Lora Haver, 9480 Streetsboro Dr., #100, Streetsboro, OH 44241. This licensed professional license is current. The license was granted 03/07/2011 and expired on 01/31/2015.

Ohio

Board of Licensing

Koczab, Garielle-Portage Family Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.12734-SA
Date granted
03/07/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Lora Haver, 9480 Streetsboro Dr., #100, Streetsboro, OH 44241
ohiolicensing.org
ID 29406186
LAST UPDATED 2026-04-17 18:46:06 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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