Ohio
Board of Licensing
Bicanovsky, Lesley-Fairview Health System Surgical
Medical Board - 41.Pa Supervision Agreement
License number
41.7904-SA
Date granted
04/16/2007
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Attn: Judy Lewis, 18101 Lorain Ave, Cleveland, OH 44111
ohiolicensing.org
ID 28939344
LAST UPDATED 2024-04-09 14:38:33 UTC
LAST UPDATED 2024-04-09 14:38:33 UTC