Ohio
Board of Licensing
Kim, Tikhon-Lutheran Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.14266-SA
Date granted
03/01/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Amy Boone, 1730 W. 25th St., Cleveland, OH 44113
ohiolicensing.org
ID 29494727
LAST UPDATED 2026-05-14 09:48:56 UTC
LAST UPDATED 2026-05-14 09:48:56 UTC