License holder summary

Fairbanks, Kyrsten-CCF-Beachwood ASC is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Fairbanks, Kyrsten-CCF-Beachwood ASC is 26900 Cedar Rd, Suzanne Kohn BD 14, Beachwood, OH 44122. This licensed professional license is not current. The license was granted 02/05/2007 and expired on 01/31/2013.

Ohio

Board of Licensing

Fairbanks, Kyrsten-CCF-Beachwood ASC
Medical Board - 41.Pa Supervision Agreement
License number
41.7664-SA
Date granted
02/05/2007
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
26900 Cedar Rd, Suzanne Kohn BD 14, Beachwood, OH 44122
ohiolicensing.org
ID 28933504
LAST UPDATED 2024-04-20 03:07:29 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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