Ohio
Board of Licensing
Shank, Craig-Orthopaedic Center For Spinal & Pedia
Medical Board - 41.Pa Supervision Agreement
License number
41.13011-SA
Date granted
05/12/2011
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Derek Theodor, 1 Childrens Plaza, Dayton, OH 45404
ohiolicensing.org
ID 29423544
LAST UPDATED 2026-05-08 14:15:18 UTC
LAST UPDATED 2026-05-08 14:15:18 UTC