Ohio
Board of Licensing
Kroustos, Constantine-COPC
Medical Board - 41.Pa Supervision Agreement
License number
41.15371-SA
Date granted
09/12/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
500 Thomas Lane #3G, Columbus, OH 43214
ohiolicensing.org
ID 29521507
LAST UPDATED 2024-04-16 07:34:55 UTC
LAST UPDATED 2024-04-16 07:34:55 UTC