Ohio
Board of Licensing
Shie, Marvin - Lakewood Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.2892-SA
Date granted
02/26/2003
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Ann Vetter, 14519 Detroit Avenue, Lakewood, OH 44107
ohiolicensing.org
ID 28676702
LAST UPDATED 2026-04-16 09:52:27 UTC
LAST UPDATED 2026-04-16 09:52:27 UTC