Ohio
Board of Licensing
Dietz, Jill-CCF-Hillcrest Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.14865-SA
Date granted
07/23/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
6780 Mayfield Rd, Attn Ian Glass, Mayfield Hts, OH 44124
ohiolicensing.org
ID 29515689
LAST UPDATED 2026-04-20 20:14:46 UTC
LAST UPDATED 2026-04-20 20:14:46 UTC