License holder summary

Shiota, Takahiro-CCF-Cardiology is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Shiota, Takahiro-CCF-Cardiology is 9500 Euclid Ave., J1-5, Jennifer Ours, Cleveland, OH 44195. This licensed professional license is not current. The license was granted 12/13/2002 and expired on 01/31/2011.

Ohio

Board of Licensing

Shiota, Takahiro-CCF-Cardiology
Medical Board - 41.Pa Supervision Agreement
License number
41.2658-SA
Date granted
12/13/2002
Date expires
01/31/2011
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
9500 Euclid Ave., J1-5, Jennifer Ours, Cleveland, OH 44195
ohiolicensing.org
ID 28676446
LAST UPDATED 2026-06-17 20:06:53 UTC

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