License holder summary

Perry, TIffany- CCF Lakewood Hospital is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Perry, TIffany- CCF Lakewood Hospital is 14519 Detroit Ave., Ann Vetter, Lakewood, OH 44107. This licensed professional license is current. The license was granted 06/19/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Perry, TIffany- CCF Lakewood Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.16804-SA
Date granted
06/19/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
14519 Detroit Ave., Ann Vetter, Lakewood, OH 44107
ohiolicensing.org
ID 29549485
LAST UPDATED 2024-04-04 00:05:38 UTC

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