Ohio
Board of Licensing
Raj, Prasanta - Fairview Health System Surgical Se
Medical Board - 41.Pa Supervision Agreement
License number
41.3618-SA
Date granted
09/12/2003
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
18099 Lorain Ave #200, Cleveland, OH 44111
ohiolicensing.org
ID 28677483
LAST UPDATED 2026-05-26 10:23:09 UTC
LAST UPDATED 2026-05-26 10:23:09 UTC