License holder summary

Nickodem, Robert - Lake Hospital Systems is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Nickodem, Robert - Lake Hospital Systems is 36000 Euclid AVe.,, Willoughby,, OH 44094. This licensed professional license is not current. The license was granted 02/05/2002 and expired on 01/31/2013.

Ohio

Board of Licensing

Nickodem, Robert - Lake Hospital Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.66-SA
Date granted
02/05/2002
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
36000 Euclid AVe.,, Willoughby,, OH 44094
ohiolicensing.org
ID 28673665
LAST UPDATED 2024-05-11 23:36:51 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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