Ohio
Board of Licensing
Bolla, Ravishankar - Fairview Hospital, Dept of
Medical Board - 41.Pa Supervision Agreement
License number
41.1048-SA
Date granted
01/26/2000
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 28674713
LAST UPDATED 2024-03-14 11:59:10 UTC
LAST UPDATED 2024-03-14 11:59:10 UTC