Ohio
Board of Licensing
Tan, Annie-CCF-Lorain
Medical Board - 41.Pa Supervision Agreement
License number
41.14371-SA
Date granted
03/13/2012
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Patricia Hirkala, 5700 Cooper Foster Park Rd, Lorain, OH 44053
ohiolicensing.org
ID 29497820
LAST UPDATED 2024-03-23 01:51:45 UTC
LAST UPDATED 2024-03-23 01:51:45 UTC