License holder summary

Brethauer, Stacy- Fairview Hospital Surgery is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Brethauer, Stacy- Fairview Hospital Surgery is 18101 Lorain Ave., Judy Lewis, Cleveland, OH 44111. This licensed professional license is current. The license was granted 07/23/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Brethauer, Stacy- Fairview Hospital Surgery
Medical Board - 41.Pa Supervision Agreement
License number
41.16917-SA
Date granted
07/23/2013
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 29552255
LAST UPDATED 2024-04-23 22:55:40 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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