License holder summary

Koniarczyk, Michael- CCF Mentor is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Koniarczyk, Michael- CCF Mentor is 7060 Wayside Dr., Mentor, OH 44060. This licensed professional license is current. The license was granted 05/30/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Koniarczyk, Michael- CCF Mentor
Medical Board - 41.Pa Supervision Agreement
License number
41.16721-SA
Date granted
05/30/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
7060 Wayside Dr., Mentor, OH 44060
ohiolicensing.org
ID 29547495
LAST UPDATED 2024-03-12 07:29:40 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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