License holder summary

Mizenko, John - CCF-South Pointe Hospital is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Mizenko, John - 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 05/08/2006.

Ohio

Board of Licensing

Mizenko, John - CCF-South Pointe Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.4894-SA
Date granted
03/24/2004
Date expires
05/08/2006
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 28678870
LAST UPDATED 2026-04-11 19:40:41 UTC

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