Ohio
Board of Licensing
Costin, John - CCF-Lorain
Medical Board - 41.Pa Supervision Agreement
License number
41.3777-SA
Date granted
09/17/2002
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 28677658
LAST UPDATED 2024-05-12 21:25:59 UTC
LAST UPDATED 2024-05-12 21:25:59 UTC