License holder summary

Tabaa, Mousab-CCF-Lorain Foundation is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Tabaa, Mousab-CCF-Lorain Foundation is Pat Hirkala, 5700 Cooper Foster Park Rd, Lorain, OH 44053. This licensed professional license is current. The license was granted 01/24/2011 and expired on 01/31/2015.

Ohio

Board of Licensing

Tabaa, Mousab-CCF-Lorain Foundation
Medical Board - 41.Pa Supervision Agreement
License number
41.12540-SA
Date granted
01/24/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Pat Hirkala, 5700 Cooper Foster Park Rd, Lorain, OH 44053
ohiolicensing.org
ID 29402503
LAST UPDATED 2024-05-11 19:49:31 UTC

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