CTR Practice Site Address
When you applied for a Certificate to Recommend medical marijuana (CTR) in eLicense.ohio.gov, you were given the option to designate a mailing address and a public address. Your public address is the location in which you practice medicine, and under Ohio law, the Medical Board is required to publish the practice address of all physicians with an active CTR. The board recognizes that your CTR office location may differ from your main practice location. To ensure the correct information is captured and published for the Ohio Medical Marijuana Control Program, we’ve created a survey for you to confirm the addresses you wish to list on the medical marijuana physician locator.
required 1) Name of Practice Site

required 2) Street Address

required 3) City

required 4) State

required 5) ZIP Code

required 6) County

required 7) Practice Settings

8) Add Additional Addresses

required 9) Ohio MD/DO License Number (example: 35.12345CTR)

required 10) Name

11) Email Address