License holder summary

Dr. Shane Michael Gustafson is a Medical Board - 34.Doctor Of Osteopathic Medicine licensed to practice in Ohio. The address on file for Dr. Shane Michael Gustafson is 1555 Northway Drive, St Cloud, MN 56303. This licensed professional license is not current. The license was granted 07/23/2004 and expired on 01/01/2009.

Ohio

Board of Licensing

Dr. Shane Michael Gustafson
Medical Board - 34.Doctor Of Osteopathic Medicine
License number
34.008344
Date granted
07/23/2004
Date expires
01/01/2009
Class
Medical Board - 34.Doctor Of Osteopathic Medicine
Status
Inactive
Address
1555 Northway Drive, St Cloud, MN 56303
ohiolicensing.org
ID 28502137
LAST UPDATED 2024-04-13 11:12:54 UTC

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

Reviews

Are you familiar with Dr. Shane Michael Gustafson's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending