Ohio
Board of Licensing
Underwood, Melissa-CCF
Medical Board - 41.Pa Supervision Agreement
License number
41.18622-SA
Date granted
08/07/2014
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
John LeCastre, 1000 E. Washington St, Medina, OH 44256
ohiolicensing.org
ID 29584556
LAST UPDATED 2026-04-01 15:08:02 UTC
LAST UPDATED 2026-04-01 15:08:02 UTC