License holder summary

SCOTT DAVID PETERSEN is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for SCOTT DAVID PETERSEN is Fairview Hospital Pain Management, 14099 Lorain Ave Suite 525, Cleveland, OH 44111. This licensed professional license is current. The license was granted 04/15/2004 and expired on 01/31/2016.

Ohio

Board of Licensing

SCOTT DAVID PETERSEN
Medical Board - 50.Physician Assistant
License number
50.002138
Date granted
04/15/2004
Date expires
01/31/2016
Class
Medical Board - 50.Physician Assistant
Status
Active
Address
Fairview Hospital Pain Management, 14099 Lorain Ave Suite 525, Cleveland, OH 44111
ohiolicensing.org
ID 28519393
LAST UPDATED 2024-04-18 23:07:11 UTC

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