Ohio
Board of Licensing
Moossa, Basel-Fairview Health Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.16522-SA
Date granted
04/17/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
18101 Lorain Ave., Judy Lewis, Cleveland, OH 44111
ohiolicensing.org
ID 29541522
LAST UPDATED 2024-05-03 07:04:39 UTC
LAST UPDATED 2024-05-03 07:04:39 UTC