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 2024-04-06 16:33:16 UTC
LAST UPDATED 2024-04-06 16:33:16 UTC