License holder summary

Jena Brooke Gustafson is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for Jena Brooke Gustafson is 4308 Belmont Ave, Youngstown, OH 44505. This licensed professional license is current. The license was granted 03/11/2010 and expired on 01/31/2016.

Ohio

Board of Licensing

Jena Brooke Gustafson
Medical Board - 50.Physician Assistant
License number
50.003058
Date granted
03/11/2010
Date expires
01/31/2016
Class
Medical Board - 50.Physician Assistant
Status
Active
Address
4308 Belmont Ave, Youngstown, OH 44505
ohiolicensing.org
ID 29376480
LAST UPDATED 2024-03-18 19:09:03 UTC

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