License holder summary

Smith, Mark - Mental Health Services for Clark County is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Smith, Mark - Mental Health Services for Clark County is 1345 N. Fountain Blvd., Springfield, OH 45504. This licensed professional license is not current. The license was granted 11/18/2003 and expired on 01/31/2005.

Ohio

Board of Licensing

Smith, Mark - Mental Health Services for Clark County
Medical Board - 41.Pa Supervision Agreement
License number
41.4006-SA
Date granted
11/18/2003
Date expires
01/31/2005
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
1345 N. Fountain Blvd., Springfield, OH 45504
ohiolicensing.org
ID 28677903
LAST UPDATED 2024-04-02 02:42:39 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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