License holder summary

Mayuga, Kenneth-CCF is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Mayuga, Kenneth-CCF is 9500 Euclid Ave., J2-2, Marge O'Malley, Cleveland, OH 44195. This licensed professional license is current. The license was granted 11/04/2014 and expired on 01/31/2017.

Ohio

Board of Licensing

Mayuga, Kenneth-CCF
Medical Board - 41.Pa Supervision Agreement
License number
41.19066-SA
Date granted
11/04/2014
Date expires
01/31/2017
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active
Address
9500 Euclid Ave., J2-2, Marge O'Malley, Cleveland, OH 44195
ohiolicensing.org
ID 29590412
LAST UPDATED 2026-06-23 22:04:23 UTC

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