License holder summary

Lissauer, Jack - CCF-South Pointe Hospital is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Lissauer, Jack - CCF-South Pointe Hospital is Attn: Carol Weber, PA-C, 20000 Harvard Rd., Room 233, Warrensville Hts, OH 44122. This licensed professional license is not current. The license was granted 03/24/2004 and expired on 01/31/2007.

Ohio

Board of Licensing

Lissauer, Jack - CCF-South Pointe Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.4887-SA
Date granted
03/24/2004
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Attn: Carol Weber, PA-C, 20000 Harvard Rd., Room 233, Warrensville Hts, OH 44122
ohiolicensing.org
ID 28678864
LAST UPDATED 2026-06-07 11:50:12 UTC

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