Ohio
Board of Licensing
Ciezki, Jay-CCF-Beachwood
Medical Board - 41.Pa Supervision Agreement
License number
41.5220-SA
Date granted
12/20/2004
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Attn: Suzanne Kohn, 26900 Cedar Rd., BD14, Beachwood, OH 44122
ohiolicensing.org
ID 28683784
LAST UPDATED 2024-03-28 09:50:16 UTC
LAST UPDATED 2024-03-28 09:50:16 UTC