License holder summary

Borsellino, Samuel-Fairview Health Systems Surgica is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Borsellino, Samuel-Fairview Health Systems Surgica is Attn: Judy Lewis, 18101 Lorain Ave, Cleveland, OH 44111. This licensed professional license is not current. The license was granted 07/24/2007 and expired on 01/31/2013.

Ohio

Board of Licensing

Borsellino, Samuel-Fairview Health Systems Surgica
Medical Board - 41.Pa Supervision Agreement
License number
41.8265-SA
Date granted
07/24/2007
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Attn: Judy Lewis, 18101 Lorain Ave, Cleveland, OH 44111
ohiolicensing.org
ID 28948940
LAST UPDATED 2024-02-23 07:04:04 UTC

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