Ohio
Board of Licensing
So, Richard- CCF
Medical Board - 41.Pa Supervision Agreement
License number
41.16273-SA
Date granted
02/28/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
9500 Euclid Ave., Renee Haller, Cleveland, OH 44195
ohiolicensing.org
ID 29535920
LAST UPDATED 2026-05-22 10:40:29 UTC
LAST UPDATED 2026-05-22 10:40:29 UTC