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
LAST UPDATED 2026-06-07 07:33:00 UTC