Ohio
Board of Licensing
Fuentes, Freddie-CCF-Willoughby Hills
Medical Board - 41.Pa Supervision Agreement
License number
41.11475-SA
Date granted
05/06/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Melinda Homan, 2570 SOM Center Rd, Willoughby Hills, OH 44095
ohiolicensing.org
ID 29383511
LAST UPDATED 2024-03-21 11:49:39 UTC
LAST UPDATED 2024-03-21 11:49:39 UTC