Ohio
Board of Licensing
Dr. DEREK DWAYNE MAFONG
Medical Board - 57.Md Training Certificate
License number
57.005713
Date granted
06/14/2002
Date expires
06/23/2005
Class
Medical Board - 57.Md Training Certificate
Status
Inactive
Address
CLEVELAND, OH 44106
ohiolicensing.org
ID 28428145
LAST UPDATED 2024-02-17 11:03:05 UTC
LAST UPDATED 2024-02-17 11:03:05 UTC