Ohio
Board of Licensing
Champagne, Bradley-Southwest General Health Center
Medical Board - 41.Pa Supervision Agreement
License number
41.11823-SA
Date granted
08/03/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Donna Williams, 18697 Bagley Rd, Middleburg Hts, OH 44130
ohiolicensing.org
ID 29391261
LAST UPDATED 2026-05-21 06:28:18 UTC
LAST UPDATED 2026-05-21 06:28:18 UTC