Ohio
Board of Licensing
Drake, Richard-Fairview Health Systems Surgical Sv
Medical Board - 41.Pa Supervision Agreement
License number
41.7619-SA
Date granted
01/26/2007
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 28932931
LAST UPDATED 2026-06-07 19:00:10 UTC
LAST UPDATED 2026-06-07 19:00:10 UTC