Ohio
Board of Licensing
Whitted, Glenn - CCF-Lorain
Medical Board - 41.Pa Supervision Agreement
License number
41.2271-SA
Date granted
03/15/1999
Date expires
01/31/2005
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
5700 Cooper Foster Park Rd, Lorain,, OH 44053
ohiolicensing.org
ID 28676028
LAST UPDATED 2026-06-06 03:09:25 UTC
LAST UPDATED 2026-06-06 03:09:25 UTC