Ohio
Board of Licensing
Paul, Douglas-Kettering Acute Care Surgery
Medical Board - 41.Pa Supervision Agreement
License number
41.17012-SA
Date granted
08/13/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
3535 Southern Blvd., Cheri Brockman, Kettering, OH 45429
ohiolicensing.org
ID 29554023
LAST UPDATED 2026-05-23 10:53:34 UTC
LAST UPDATED 2026-05-23 10:53:34 UTC