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Next Update: Thursday, December 19, 2024 2:50 AM CST
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PETERSEN, JASON DAYNE
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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.
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| Practice Address: |
5353 SOUTH 960 EAST #150
MURRAY UT 84117
Address last updated on 7/31/2015 |
| Phone #: |
(801) 261--579 |
| Fax #: |
(801) 747-7740 |
| County: |
NOT OKLAHOMA |
| License: |
27102 |
| Dated: |
6/24/2009 |
| Expires: |
6/1/2016 |
| License Type: |
Medical Doctor |
| Specialty: |
Plastic Surgery
Craniofacial Surgery |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ of IA Roy J & L Carver COM, Iowa City, IA 52242 |
| Graduated: |
5 /
2003 |
| CME Year: |
2018 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PLASTIC SURGERY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
5353 SOUTH 960 EAST #150
MURRAY UT 84117
Phone #:
(801) 261--579
Fax #:
(801) 747-7740 |
Mon: 9:00AM - 4:30PM
Tue: 9:00AM - 4:30PM
Wed: 9:00AM - 4:30PM
Thu: 9:00AM - 4:30PM
Fri: 9:00AM - 4:30PM
Sat:
Sun: |
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