Ohio
Board of Licensing
Clark, Daniel- CCF Lakewood
Medical Board - 41.Pa Supervision Agreement
License number
41.16029-SA
Date granted
01/23/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Lakewood, OH 44107
ohiolicensing.org
ID 29531734
LAST UPDATED 2024-01-17 20:00:49 UTC
LAST UPDATED 2024-01-17 20:00:49 UTC