Ohio
Board of Licensing
Bogard, Brent - Fairview Health System Surgical Se
Medical Board - 41.Pa Supervision Agreement
License number
41.2278-SA
Date granted
03/23/1999
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
18101 Lorain Ave.,, Cleveland, OH 44111
ohiolicensing.org
ID 28676037
LAST UPDATED 2026-04-16 20:39:16 UTC
LAST UPDATED 2026-04-16 20:39:16 UTC