Ohio
Board of Licensing
Edwards, Tanya-Cleveland Clinic
Medical Board - 41.Pa Supervision Agreement
License number
41.13526-SA
Date granted
09/06/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Peggy Bourguignon, 1950 Richmond Rd TR2-203, Lyndhurst, OH 44124
ohiolicensing.org
ID 29479547
LAST UPDATED 2024-02-18 17:00:24 UTC
LAST UPDATED 2024-02-18 17:00:24 UTC