Ohio
Board of Licensing
DeRoss, Anthony-Fairview Health Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.18391-SA
Date granted
03/07/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Judy Lewis, 18101 Lorain Ave, Cleveland, OH 44111
ohiolicensing.org
ID 29580804
LAST UPDATED 2026-04-09 22:20:07 UTC
LAST UPDATED 2026-04-09 22:20:07 UTC