License holder summary

Chavez, Altagracia-Fairview Health System Surgical is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Chavez, Altagracia-Fairview Health System Surgical is Attn: Judy Lewis, 18101 Lorain Ave, Cleveland, OH 44111. This licensed professional license is current. The license was granted 10/26/2005 and expired on 01/31/2015.

Ohio

Board of Licensing

Chavez, Altagracia-Fairview Health System Surgical
Medical Board - 41.Pa Supervision Agreement
License number
41.6424-SA
Date granted
10/26/2005
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Attn: Judy Lewis, 18101 Lorain Ave, Cleveland, OH 44111
ohiolicensing.org
ID 28856199
LAST UPDATED 2024-04-21 22:34:37 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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