Ohio
Board of Licensing
Applegate, Nathaniel - CCF
Medical Board - 41.Pa Supervision Agreement
License number
41.10195-SA
Date granted
03/27/2009
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Melanie Hathaway, 26900 Cedar Rd.,, Beachwood, OH 44122
ohiolicensing.org
ID 29351915
LAST UPDATED 2024-03-13 15:17:37 UTC
LAST UPDATED 2024-03-13 15:17:37 UTC