PETERSON, DONNY JUVENAL - Licensee Information - Oklahoma Medical Board

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PETERSON, DONNY JUVENAL

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:

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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