Ohio
Board of Licensing
Costin, John-Lakewood Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.10142-SA
Date granted
02/26/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Jean Linn, 14519 Detroit Ave, Lakewood, OH 44107
ohiolicensing.org
ID 29349001
LAST UPDATED 2024-02-15 10:46:17 UTC
LAST UPDATED 2024-02-15 10:46:17 UTC