Ohio
Board of Licensing
Costin, III, John-CCF-Lorain ASC
Medical Board - 41.Pa Supervision Agreement
License number
41.8286-SA
Date granted
07/26/2007
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
5700 Cooper Foster Park Rd, Lorain, OH 44053
ohiolicensing.org
ID 28949188
LAST UPDATED 2024-02-21 00:52:16 UTC
LAST UPDATED 2024-02-21 00:52:16 UTC