Ohio
Board of Licensing
Moore, Michael-CCF-Beachwood
Medical Board - 41.Pa Supervision Agreement
License number
41.5179-SA
Date granted
12/18/2004
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Suzanne Kohn, 26900 Cedar Rd.,, BD14, Beachwood, OH 44122
ohiolicensing.org
ID 28683719
LAST UPDATED 2024-03-11 22:36:20 UTC
LAST UPDATED 2024-03-11 22:36:20 UTC