Ohio
Board of Licensing
Kiwi, Robert-CCF-Beachwood
Medical Board - 41.Pa Supervision Agreement
License number
41.5204-SA
Date granted
12/20/2004
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Suzanne Kohn, CCF Beachwood ASC, 26900 Cedar Road BD14, Beachwood, OH 44122
ohiolicensing.org
ID 28683762
LAST UPDATED 2024-05-17 19:28:30 UTC
LAST UPDATED 2024-05-17 19:28:30 UTC