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 2024-04-22 19:35:56 UTC
LAST UPDATED 2024-04-22 19:35:56 UTC