Ohio
Board of Licensing
Mark, Myra - OPMG
Medical Board - 41.Pa Supervision Agreement
License number
41.3783-SA
Date granted
09/17/2002
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
8920 Canyon Falls Blvd., Twinsburg, OH 44087
ohiolicensing.org
ID 28677665
LAST UPDATED 2026-04-18 03:39:47 UTC
LAST UPDATED 2026-04-18 03:39:47 UTC