License holder summary

Lackey, Susan-CCF-Willoughby Hills FHC is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Lackey, Susan-CCF-Willoughby Hills FHC is Melinda Homan, 2570 SOM Center Rd Mail Code WL-10, Willoughby Hills, OH 44094. This licensed professional license is current. The license was granted 12/22/2011 and expired on 01/31/2015.

Ohio

Board of Licensing

Lackey, Susan-CCF-Willoughby Hills FHC
Medical Board - 41.Pa Supervision Agreement
License number
41.14019-SA
Date granted
12/22/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Melinda Homan, 2570 SOM Center Rd Mail Code WL-10, Willoughby Hills, OH 44094
ohiolicensing.org
ID 29487090
LAST UPDATED 2024-04-16 22:03:26 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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