Ohio
Board of Licensing
Mizenko, John - CCF-South Pointe Hospital
Medical Board - 41.Pa Supervision Agreement
License number
41.4894-SA
Date granted
03/24/2004
Date expires
05/08/2006
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Attn: Carol Weber, PA-C, 20000 Harvard Rd., Room 233, Warrensville Hts, OH 44122
ohiolicensing.org
ID 28678870
LAST UPDATED 2026-04-11 19:40:41 UTC
LAST UPDATED 2026-04-11 19:40:41 UTC