Ohio
Board of Licensing
DeRoss, Anthony-Southwest General Health Center
Medical Board - 41.Pa Supervision Agreement
License number
41.12609-SA
Date granted
02/07/2011
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 44130-3497
ohiolicensing.org
ID 29403606
LAST UPDATED 2026-05-23 03:28:27 UTC
LAST UPDATED 2026-05-23 03:28:27 UTC