Ohio
Board of Licensing
Kotagal, Prakash-CCF-Neurological Institute
Medical Board - 41.Pa Supervision Agreement
License number
41.12511-SA
Date granted
01/18/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Debra Kangisser, 9500 Euclid Ave P 57, Cleveland, OH 44195
ohiolicensing.org
ID 29401954
LAST UPDATED 2024-04-03 22:09:21 UTC
LAST UPDATED 2024-04-03 22:09:21 UTC