Ohio
Board of Licensing
Goddard, Mark-Drake Center Professional Corp #2
Medical Board - 41.Pa Supervision Agreement
License number
41.5494-SA
Date granted
02/23/2005
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
151 W. Galbraith Rd., Cincinnati, OH 45216
ohiolicensing.org
ID 28689270
LAST UPDATED 2026-08-17 14:59:07 UTC
LAST UPDATED 2026-08-17 14:59:07 UTC