Ohio
Board of Licensing
Hastings, Otis - Lakewood Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.334-SA
Date granted
01/07/1999
Date expires
07/28/2006
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
14519 Detroit aVe., Lakewood, OH 44107
ohiolicensing.org
ID 28673950
LAST UPDATED 2026-06-07 18:06:55 UTC
LAST UPDATED 2026-06-07 18:06:55 UTC