Generalovich, Brock-CCF-Beachwood ASC

Medical Board - 41.Pa Supervision Agreement

Ohio  41.7666-SA   Inactive

This Ohio license was held by Generalovich, Brock-CCF-Beachwood ASC. The license is no longer active. It was granted on 02/05/2007 and expired on 01/31/2011

LICENSE DETAILS

  • License Number: 41.7666-SA
  • Category: 41.PA Supervision Agreement
  • Status: Inactive
  • Date Granted: 02/05/2007 (over 17 years ago)
  • Expiry Date: 01/31/2011 (over 13 years ago)

LOCATIONS

A Practice Address

26900 Cedar Rd, Beachwood, OH 44122