Ohio
Board of Licensing
Ricaurte, Basma-Fairview Health Systems Surgical
Medical Board - 41.Pa Supervision Agreement
License number
41.11411-SA
Date granted
04/13/2010
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Judy Lewis, 18101 Lorain Ave, Cleveland, OH 44111
ohiolicensing.org
ID 29381195
LAST UPDATED 2026-05-28 13:27:23 UTC
LAST UPDATED 2026-05-28 13:27:23 UTC