Ohio
Board of Licensing
Moten, Gregory-Occmed Source, LLC
Medical Board - 41.Pa Supervision Agreement
License number
41.8851-SA
Date granted
01/14/2008
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Marlaine Zitkewicz, 174 Currie Hall Parkway #D, Kent, OH 44240
ohiolicensing.org
ID 28960890
LAST UPDATED 2026-07-02 21:16:29 UTC
LAST UPDATED 2026-07-02 21:16:29 UTC