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 2024-04-06 18:07:59 UTC
LAST UPDATED 2024-04-06 18:07:59 UTC
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