License holder summary

Nickodem, Jr, Robert-CCF-Euclid Hospital is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Nickodem, Jr, Robert-CCF-Euclid Hospital is Andrew Proctor, 18901 Lakeshore Blvd, Euclid, OH 44119. This licensed professional license is current. The license was granted 10/15/2012 and expired on 01/31/2015.

Ohio

Board of Licensing

Nickodem, Jr, Robert-CCF-Euclid Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.15537-SA
Date granted
10/15/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Andrew Proctor, 18901 Lakeshore Blvd, Euclid, OH 44119
ohiolicensing.org
ID 29524135
LAST UPDATED 2026-04-26 09:48:41 UTC

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