License holder summary

Lane, Modish - CCF-South Pointe Hospital is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Lane, Modish - CCF-South Pointe Hospital is Attn: Carol Weber, PA-C, 20000 Harvard Rd., Room 233, Warrensville Hts, OH 44122. This licensed professional license is current. The license was granted 01/20/2004 and expired on 01/31/2015.

Ohio

Board of Licensing

Lane, Modish - CCF-South Pointe Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.4194-SA
Date granted
01/20/2004
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Attn: Carol Weber, PA-C, 20000 Harvard Rd., Room 233, Warrensville Hts, OH 44122
ohiolicensing.org
ID 28678107
LAST UPDATED 2024-03-08 02:51:45 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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