Ohio
Board of Licensing
Nickels, Travis-Fairview Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.18751-SA
Date granted
09/09/2014
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 29586987
LAST UPDATED 2026-05-05 09:42:36 UTC
LAST UPDATED 2026-05-05 09:42:36 UTC