Jerry, Jason-CCF-Neurological Institute

Medical Board - 41.Pa Supervision Agreement

Ohio  41.12064-SA   Active (In Renewal)

This Ohio license is held by Jerry, Jason-CCF-Neurological Institute. The license is currently active. It was granted on 10/19/2010 and expired on 01/31/2015

LICENSE DETAILS

  • License Number: 41.12064-SA
  • Category: 41.PA Supervision Agreement
  • Status: Active (In Renewal)
  • Date Granted: 10/19/2010 (over 13 years ago)
  • Expiry Date: 01/31/2015 (over 9 years ago)

LOCATIONS

A Practice Address

Debra Kangisser, 9500 Euclid Ave P 57, Cleveland, OH 44195