License holder summary

Smith, Mitchell- CCF is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Smith, Mitchell- CCF is 9500 Euclid Avenue (R-35), Annette McKissic, Cleveland, OH 44195. This licensed professional license is current. The license was granted 03/07/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Smith, Mitchell- CCF
Medical Board - 41.Pa Supervision Agreement
License number
41.16334-SA
Date granted
03/07/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
9500 Euclid Avenue (R-35), Annette McKissic, Cleveland, OH 44195
ohiolicensing.org
ID 29536646
LAST UPDATED 2024-02-04 22:37:58 UTC

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