Ohio
Board of Licensing
Dupont, Stefan-Cleveland Clinic
Medical Board - 41.Pa Supervision Agreement
License number
41.11908-SA
Date granted
08/31/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Debra Kangisser, 9500 Euclid Ave P 57, Cleveland, OH 44195
ohiolicensing.org
ID 29393074
LAST UPDATED 2026-05-22 13:05:16 UTC
LAST UPDATED 2026-05-22 13:05:16 UTC