Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

PETERSON, DONNY JUVENAL       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: COSMETIC SURGICAL ARTS CENTER
19109 36TH AVE W SUITE 109
LYNNWOOD WA 98034

Address last updated on 4/24/2010
Phone #: (206) 898-7607
Fax #: (206) 898-7607
County: NOT OKLAHOMA
License: 26159
Dated: 5/12/2008
Expires: 5/1/2010
License Type: Medical Doctor
Specialty: General Surgery
Cosmetic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF MN MED SCH, MINNEAPOLIS MN 55455
Graduated: 5 / 2002
CME Year: 2011
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
,
Locations: Hours: Languages:
COSMETIC SURGICAL ARTS CENTER
19109 36TH AVE W SUITE 109
LYNNWOOD WA 98034

Phone #: (206) 898-7607
Fax #: (206) 898-7607
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 1:00PM
Sat:
Sun:
1310 116th Ave NE Ste A
Bellevue, WA 98004

Phone #: (425) 296-0010
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: 8:00AM - 4:00PM
Sun:

Return to Search Licensees page