Azem, Haitham-UHHS-Bedford Medical Center
Medical Board - 41.Pa Supervision Agreement
Ohio 41.153-SA Inactive
This Ohio license was held by Azem, Haitham-UHHS-Bedford Medical Center. The license is no longer active. It was granted on 10/15/2004 and expired on 01/31/2007
LICENSE DETAILS
- License Number: 41.153-SA
- Category: 41.PA Supervision Agreement
- Status: Inactive
- Date Granted: 10/15/2004 (almost 22 years ago)
- Expiry Date: 01/31/2007 (over 19 years ago)
LOCATIONS
A Practice Address
44 Blaine Ave.,, Bedford, OH 44146