Ohio
Board of Licensing
Bacevice, Anthony - Fairview Health System Surgica
Medical Board - 41.Pa Supervision Agreement
License number
41.3594-SA
Date granted
09/12/2003
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
1997 Healthway Drive, Suite 203, Avon, OH 44011
ohiolicensing.org
ID 28677461
LAST UPDATED 2024-04-04 17:31:46 UTC
LAST UPDATED 2024-04-04 17:31:46 UTC