License holder summary

Kockentiet, Brett-Affiliated Dermatology is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Kockentiet, Brett-Affiliated Dermatology is Affiliated Dermatology, 650 Shawan Falls Drive, Dublin, OH 43017. This licensed professional license is current. The license was granted 09/08/2009 and expired on 01/31/2017.

Ohio

Board of Licensing

Kockentiet, Brett-Affiliated Dermatology
Medical Board - 41.Pa Supervision Agreement
License number
41.10756-SA
Date granted
09/08/2009
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
Affiliated Dermatology, 650 Shawan Falls Drive, Dublin, OH 43017
ohiolicensing.org
ID 29366579
LAST UPDATED 2024-02-13 17:29:26 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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