License holder summary

JERRY D VAN STAVERN is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for JERRY D VAN STAVERN is DAYTON, OH 45402. This licensed professional license is not current. The license was granted 02/22/1980 and expired on 01/31/1981.

Ohio

Board of Licensing

JERRY D VAN STAVERN
Medical Board - 50.Physician Assistant
License number
50.000102
Date granted
02/22/1980
Date expires
01/31/1981
Class
Medical Board - 50.Physician Assistant
Status
Inactive
Address
DAYTON, OH 45402
ohiolicensing.org
ID 28452300
LAST UPDATED 2024-03-04 13:32:19 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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