Ohio
Board of Licensing
Koniarczyk, Michael-CCF-Willoughby Hills
Medical Board - 41.Pa Supervision Agreement
License number
41.14021-SA
Date granted
12/22/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Melinda Homan, 2570 SOM Center Rd Mail Code WL-10, Willoughby Hills, OH 44094
ohiolicensing.org
ID 29487099
LAST UPDATED 2024-03-21 14:53:04 UTC
LAST UPDATED 2024-03-21 14:53:04 UTC