License holder summary

Dr. Edward Petersen Clack is a Medical Board - 34.Doctor Of Osteopathic Medicine licensed to practice in Ohio. The address on file for Dr. Edward Petersen Clack is Grandview Medical Center, c/o Medical Education Dept, 405 W Grand Avenue, Dayton, OH 45405. This licensed professional license is current. The license was granted 08/05/2014 and expired on 04/01/2015.

Ohio

Board of Licensing

Dr. Edward Petersen Clack
Medical Board - 34.Doctor Of Osteopathic Medicine
License number
34.011463
Date granted
08/05/2014
Date expires
04/01/2015
Class
Medical Board - 34.Doctor Of Osteopathic Medicine
Status
Active (In Renewal)
Address
Grandview Medical Center, c/o Medical Education Dept, 405 W Grand Avenue, Dayton, OH 45405
ohiolicensing.org
ID 29510237
LAST UPDATED 2024-05-03 05:22:31 UTC

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