License holder summary

Clark, Daniel- CCF Lakewood is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Clark, Daniel- CCF Lakewood is Lakewood, OH 44107. This licensed professional license is current. The license was granted 01/23/2013 and expired on 01/31/2015.

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

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