Ohio
Board of Licensing
Shepard, Dale-Cleveland Clinic
Medical Board - 41.Pa Supervision Agreement
License number
41.10737-SA
Date granted
09/03/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Annette McKissic, 9500 Euclid Ave R35, Cleveland, OH 44195
ohiolicensing.org
ID 29366341
LAST UPDATED 2024-04-15 05:58:25 UTC
LAST UPDATED 2024-04-15 05:58:25 UTC