Applegate, Nathaniel - CCF
Medical Board - 41.Pa Supervision Agreement
Ohio 41.10195-SA Inactive
This Ohio license was held by Applegate, Nathaniel - CCF. The license is no longer active. It was granted on 03/27/2009 and expired on 01/31/2011
LICENSE DETAILS
- License Number: 41.10195-SA
- Category: 41.PA Supervision Agreement
- Status: Inactive
- Date Granted: 03/27/2009 (about 15 years ago)
- Expiry Date: 01/31/2011 (over 13 years ago)
LOCATIONS
A Practice Address
Melanie Hathaway, 26900 Cedar Rd.,, Beachwood, OH 44122