Ohio
Board of Licensing
Mack, Benjamin-Emergency Professional Services
Medical Board - 41.Pa Supervision Agreement
License number
41.13928-SA
Date granted
11/28/2011
Date expires
01/31/2013
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Good Samaritan Hospitial, 2222 Philadelphia Dr.,, Dayton, OH 45406
ohiolicensing.org
ID 29485319
LAST UPDATED 2026-03-25 12:23:18 UTC
LAST UPDATED 2026-03-25 12:23:18 UTC