Ohio
Board of Licensing
Desiree' Ettalee Van Dyne
Medical Board - 50.Physician Assistant
License number
50.003418
Date granted
10/13/2011
Date expires
01/31/2016
Class
Medical Board - 50.Physician Assistant
Status
Active
Address
3555 Olentangy River Rd, Columbus, OH 43214
ohiolicensing.org
ID 29480128
LAST UPDATED 2024-05-01 20:08:39 UTC
LAST UPDATED 2024-05-01 20:08:39 UTC