Ohio
Board of Licensing
Fagan, Kathleen-MedSource One
Medical Board - 41.Pa Supervision Agreement
License number
41.8337-SA
Date granted
08/08/2007
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
8555 Sweet Valley Dr, Valley View, OH 44125
ohiolicensing.org
ID 28950216
LAST UPDATED 2026-05-14 22:30:32 UTC
LAST UPDATED 2026-05-14 22:30:32 UTC