Ohio
Board of Licensing
Jerry, Jason-CCF-Neurological Institute
Medical Board - 41.Pa Supervision Agreement
License number
41.12064-SA
Date granted
10/19/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Debra Kangisser, 9500 Euclid Ave P 57, Cleveland, OH 44195
ohiolicensing.org
ID 29396654
LAST UPDATED 2026-03-20 19:39:16 UTC
LAST UPDATED 2026-03-20 19:39:16 UTC