Ohio
Board of Licensing
Montague, Drogo-CCF-Beachwood
Medical Board - 41.Pa Supervision Agreement
License number
41.10185-SA
Date granted
03/21/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Melanie Hathaway, 26900 Cedar RD.,, Beachwood, OH 44122
ohiolicensing.org
ID 29351263
LAST UPDATED 2024-03-15 06:42:18 UTC
LAST UPDATED 2024-03-15 06:42:18 UTC