Ohio
Board of Licensing
Rackley, Raymond-CCF-Beachwood
Medical Board - 41.Pa Supervision Agreement
License number
41.5187-SA
Date granted
12/18/2004
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Attn: Suzanne Kohn, 26900 Cedar Rd., BD14, Beachwood, OH 44122
ohiolicensing.org
ID 28683731
LAST UPDATED 2024-04-08 20:13:57 UTC
LAST UPDATED 2024-04-08 20:13:57 UTC