Ohio
Board of Licensing
Brethauer, Stacy-Cleveland Clinic
Medical Board - 41.Pa Supervision Agreement
License number
41.9600-SA
Date granted
09/19/2008
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Diane DeCamillo, 9500 Euclid Ave T13, Cleveland, OH 44195
ohiolicensing.org
ID 29315645
LAST UPDATED 2024-04-28 09:16:17 UTC
LAST UPDATED 2024-04-28 09:16:17 UTC