License holder summary

Kitchener, Jacob-Clinical Neuroscience Institute is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Kitchener, Jacob-Clinical Neuroscience Institute is One Wyoming St., Miami Valley Hospital, Dayton, OH 45409. This licensed professional license is current. The license was granted 05/17/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Kitchener, Jacob-Clinical Neuroscience Institute
Medical Board - 41.Pa Supervision Agreement
License number
41.16654-SA
Date granted
05/17/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
One Wyoming St., Miami Valley Hospital, Dayton, OH 45409
ohiolicensing.org
ID 29546229
LAST UPDATED 2026-06-07 07:33:00 UTC

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