Ohio
Board of Licensing
Samara, Mariah-Fairview Health Systems
Medical Board - 41.Pa Supervision Agreement
License number
41.17560-SA
Date granted
12/11/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
18101 Lorain Ave., Judy Lewis, Cleveland, OH 44111
ohiolicensing.org
ID 29562150
LAST UPDATED 2026-05-23 20:34:41 UTC
LAST UPDATED 2026-05-23 20:34:41 UTC