Ohio
Board of Licensing
Hantus, Stephen-CCF
Medical Board - 41.Pa Supervision Agreement
License number
41.10678-SA
Date granted
08/18/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Debra Kangisser, 9500 Euclid Ave P57, Cleveland, OH 44195
ohiolicensing.org
ID 29365059
LAST UPDATED 2024-02-22 06:44:03 UTC
LAST UPDATED 2024-02-22 06:44:03 UTC