Ohio
Board of Licensing
Jacobsen, Brenda-CCF-Emergency Services
Medical Board - 41.Pa Supervision Agreement
License number
41.14355-SA
Date granted
03/12/2012
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Phyllis Gardella, 9500 Euclid Ave E19, Cleveland, OH 44195
ohiolicensing.org
ID 29497553
LAST UPDATED 2024-03-21 13:32:00 UTC
LAST UPDATED 2024-03-21 13:32:00 UTC