Ohio
Board of Licensing
Green, Douglas-OPMG
Medical Board - 41.Pa Supervision Agreement
License number
41.8492-SA
Date granted
09/27/2007
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Cleveland, OH 44114
ohiolicensing.org
ID 28954214
LAST UPDATED 2026-05-02 12:05:18 UTC
LAST UPDATED 2026-05-02 12:05:18 UTC