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License Look Up

Shane Michael Gustafson

The search results for the license holder are listed to the right.

Current Date & Time 4/3/2026 7:26 PM

Status Inactive

Sub-Status

Compact/Multi-State Eligible

Sub-Category

Board Medical Board

License Type Training Certificate (DO)

License Number 58.001121

License Issue Date 6/19/03

License Effective Date 3/18/04

License Expiration Date 6/30/05

City COLUMBUS

State OH

Country

Board Action No

Specialties:

Current date & time: 4/3/2026 7:26 PM

Disclaimer: The Joint Commission and NCQA consider on-line status information as fulfilling the primary source verification requirement for verification of licensure in compliance with their respective credentialing standards.