Ohio
Board of Licensing
Kostraba, Andrew-CCF-Willoughby Hills
Medical Board - 41.Pa Supervision Agreement
License number
41.14020-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 29487093
LAST UPDATED 2026-03-27 18:01:30 UTC
LAST UPDATED 2026-03-27 18:01:30 UTC