License holder summary

Desiree' Ettalee Van Dyne is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for Desiree' Ettalee Van Dyne is 3555 Olentangy River Rd, Columbus, OH 43214. This licensed professional license is current. The license was granted 10/13/2011 and expired on 01/31/2016.

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 2026-06-22 01:16:35 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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