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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Monday, May 20, 2024 2:50 AM CDT

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PETERSEN, JASON DAYNE       
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
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of IA Roy J & L Carver COM, Iowa City, IA 52242
Graduated: 5 / 2003
CME Year: 2018
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 PLASTIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
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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