Ohio
Board of Licensing
Martinez, Manual - Fairview Health System Surgical Services
Medical Board - 41.Pa Supervision Agreement
License number
41.2291-SA
Date granted
03/23/1999
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 28676051
LAST UPDATED 2026-06-22 04:02:20 UTC
LAST UPDATED 2026-06-22 04:02:20 UTC
- Miller, Edward - Fairview Health System Surgical Services
- Thelander, Keir - Fairview Health System Surgical Services
- Grosel, Gary - Fairview Health System Surgical Services
- Shie, Marvin - Fairview Health System Surgical Services
- Horwood, Raymond - Fairview Health System Surgical Services
- Makii, Michael - Fairview Health System Surgical Services