Dustin Jay Petersen

Medical Board - 57.Md Training Certificate

Ohio  57.016653   Failed to Renew

This Ohio license was held by Dustin Jay Petersen. The license is no longer active. It was granted on 10/09/2009 and expired on 06/23/2014

LICENSE DETAILS

  • License Number: 57.016653
  • Category: 57.MD Training Certificate
  • Status: Failed to Renew
  • Date Granted: 10/09/2009 (over 14 years ago)
  • Expiry Date: 06/23/2014 (almost 10 years ago)

LOCATIONS

A Practice Address

Riverside Methodist Hospital, c/o General Surgery Dept, 3535 Olentangy River Road, Columbus, OH 43214