Ohio
Board of Licensing
So, Norman-Cleveland Clinic
Medical Board - 41.Pa Supervision Agreement
License number
41.11078-SA
Date granted
12/10/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
9500 Euclid Ave P57, Debra Kangisser, Cleveland, OH 44195
ohiolicensing.org
ID 29372149
LAST UPDATED 2026-06-05 13:47:34 UTC
LAST UPDATED 2026-06-05 13:47:34 UTC