Ohio
Board of Licensing
Smith, Keisha-Fairview Health Systems Surgical Svc
Medical Board - 41.Pa Supervision Agreement
License number
41.7891-SA
Date granted
04/05/2007
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Attn: Judy Lewis, 18101 Lorain Ave, Cleveland, OH 44111
ohiolicensing.org
ID 28938388
LAST UPDATED 2026-04-25 06:40:17 UTC
LAST UPDATED 2026-04-25 06:40:17 UTC