Ohio
Board of Licensing
Licata, Angelo-CCF-General Internal Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.6318-SA
Date granted
10/12/2005
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Carole Kennedy, 9500 Euclid Ave., A50, Cleveland, OH 44195
ohiolicensing.org
ID 28854922
LAST UPDATED 2024-04-22 01:29:50 UTC
LAST UPDATED 2024-04-22 01:29:50 UTC