Ohio
Board of Licensing
Goodwin, Ryan-CCF-Beachwood
Medical Board - 41.Pa Supervision Agreement
License number
41.10041-SA
Date granted
01/27/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Melanie Hathaway, 26900 Cedar Rd.,, Beachwood, OH 44122
ohiolicensing.org
ID 29322240
LAST UPDATED 2024-02-07 20:25:04 UTC
LAST UPDATED 2024-02-07 20:25:04 UTC