Ohio
Board of Licensing
Anstandig, Jack-Lake Medical Research, LLC
Medical Board - 41.Pa Supervision Agreement
License number
41.7189-SA
Date granted
07/27/2006
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Kathy Dastoli RN, 34900 Chardon Rd #203, Willoughby Hills, OH 44094
ohiolicensing.org
ID 28877298
LAST UPDATED 2026-05-15 04:55:58 UTC
LAST UPDATED 2026-05-15 04:55:58 UTC