Ohio
Board of Licensing
Poblete, J. Vicente-Lakewood Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.13213-SA
Date granted
07/06/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Elaine Selos, 14519 Detroit Ave, Lakewood, OH 44107
ohiolicensing.org
ID 29438297
LAST UPDATED 2026-04-17 15:39:09 UTC
LAST UPDATED 2026-04-17 15:39:09 UTC