License holder summary

Fagan, Kathleen-MedSource One is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Fagan, Kathleen-MedSource One is 8555 Sweet Valley Dr, Valley View, OH 44125. This licensed professional license is not current. The license was granted 08/08/2007 and expired on 01/31/2011.

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 2024-05-07 10:50:05 UTC

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