License holder summary

Botham, Mark-Fairview Hospital Surgery is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Botham, Mark-Fairview Hospital Surgery is 18101 Lorain Ave., Judy Lewis, Cleveland, OH 44111. This licensed professional license is current. The license was granted 09/10/2014 and expired on 01/31/2015.

Ohio

Board of Licensing

Botham, Mark-Fairview Hospital Surgery
Medical Board - 41.Pa Supervision Agreement
License number
41.18762-SA
Date granted
09/10/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
18101 Lorain Ave., Judy Lewis, Cleveland, OH 44111
ohiolicensing.org
ID 29587092
LAST UPDATED 2026-04-17 17:50:42 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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