Ohio
Board of Licensing
Modic, Michael-CCF-South Pointe Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.10399-SA
Date granted
06/01/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Carol Weber, 20000 Harvard Rd, Warrensville Hts, OH 44122
ohiolicensing.org
ID 29358432
LAST UPDATED 2026-05-24 15:07:51 UTC
LAST UPDATED 2026-05-24 15:07:51 UTC