Ohio
Board of Licensing
Cassandra Lynn Formeck
Medical Board - 57.Md Training Certificate
License number
57.023203
Date granted
10/02/2013
Date expires
06/30/2015
Class
Medical Board - 57.Md Training Certificate
Status
Active
Address
Nationwide Children's Hosp/OSU, c/o Pediatrics Dept, 700 Children's Drive, Columbus, OH 43205
ohiolicensing.org
ID 29543628
LAST UPDATED 2026-06-05 10:17:11 UTC
LAST UPDATED 2026-06-05 10:17:11 UTC