Ohio
Board of Licensing
Lane, Isabelle-Portage Family Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.10554-SA
Date granted
07/20/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Lora Haver, 9480 Rosemont Dr., #100, Streetsboro, OH 44241
ohiolicensing.org
ID 29362683
LAST UPDATED 2026-05-19 05:31:31 UTC
LAST UPDATED 2026-05-19 05:31:31 UTC