Ohio
Board of Licensing
Tungsiripat, Marisa-CCF
Medical Board - 41.Pa Supervision Agreement
License number
41.10595-SA
Date granted
08/03/2009
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Karen Tindel, 9500 Euclid Ave G21, Cleveland, OH 44195
ohiolicensing.org
ID 29363745
LAST UPDATED 2024-02-15 18:38:29 UTC
LAST UPDATED 2024-02-15 18:38:29 UTC