License holder summary

ERIC E JIVIDEN is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for ERIC E JIVIDEN is CENTREVILLE, VA 20120. This licensed professional license is not current. The license was granted 01/13/2000 and expired on 01/31/2006.

Ohio

Board of Licensing

ERIC E JIVIDEN
Medical Board - 50.Physician Assistant
License number
50.001435
Date granted
01/13/2000
Date expires
01/31/2006
Class
Medical Board - 50.Physician Assistant
Status
Inactive
Address
CENTREVILLE, VA 20120
ohiolicensing.org
ID 28434166
LAST UPDATED 2024-05-09 09:06:30 UTC

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