Ohio
Board of Licensing
Grady, Jack-Fairview Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.15579-SA
Date granted
10/31/2012
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 29525262
LAST UPDATED 2024-04-15 14:35:09 UTC
LAST UPDATED 2024-04-15 14:35:09 UTC