Ohio
Board of Licensing
Gong, Michael-CCF-Beachwood
Medical Board - 41.Pa Supervision Agreement
License number
41.13426-SA
Date granted
08/22/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Joseanne Pagel, 26900 Cedar Rd, Beachwood, OH 44122
ohiolicensing.org
ID 29478183
LAST UPDATED 2024-03-15 13:36:40 UTC
LAST UPDATED 2024-03-15 13:36:40 UTC