License holder summary

Goddard, Mark-Drake Center Professional Corp #2 is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Goddard, Mark-Drake Center Professional Corp #2 is 151 W. Galbraith Rd., Cincinnati, OH 45216. This licensed professional license is current. The license was granted 02/23/2005 and expired on 01/31/2015.

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 2024-03-28 22:26:14 UTC

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