SCOTT D PETERSEN - Physician Assistant License in Ohio | # 085000637

SCOTT D PETERSEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000637

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

D

Last Name

PETERSEN

Business Name

SCOTT D PETERSEN

Original Issue Date

12/19/1994

Effective Date

09/08/2016

Expiration Date

03/01/2018

State

OH

Ever Disciplined

N

LastModifiedDate

05/10/2018