License holder summary

Keith Robert Crandall is a Medical Board - 59.Dpm Training Certificate licensed to practice in Ohio. The address on file for Keith Robert Crandall is Western Reserve Care System (Forum Hlth), c/o Medical Education Dept.- Podiatry, 500 Gypsy Lane, Youngstown, OH 44501. This licensed professional license is not current. The license was granted 10/27/2010 and expired on 06/30/2013.

Ohio

Board of Licensing

Keith Robert Crandall
Medical Board - 59.Dpm Training Certificate
License number
59.000345
Date granted
10/27/2010
Date expires
06/30/2013
Class
Medical Board - 59.Dpm Training Certificate
Status
Failed to Renew
Address
Western Reserve Care System (Forum Hlth), c/o Medical Education Dept.- Podiatry, 500 Gypsy Lane, Youngstown, OH 44501
ohiolicensing.org
ID 29387564
LAST UPDATED 2024-02-24 16:40:01 UTC

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