Ohio
Board of Licensing
Berenger, Philippe-Fairview Health System
Medical Board - 41.Pa Supervision Agreement
License number
41.11852-SA
Date granted
08/12/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Judy Lewis, 18101 Lorain Ave, Cleveland, OH 44111
ohiolicensing.org
ID 29391868
LAST UPDATED 2026-07-12 04:58:53 UTC
LAST UPDATED 2026-07-12 04:58:53 UTC