License holder summary

Ambalavanan, Sivanankaran - Renal Physicians is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Ambalavanan, Sivanankaran - Renal Physicians is One Elizabeth Place #190, Dayton, OH 45408. This licensed professional license is current. The license was granted 01/08/2004 and expired on 01/31/2015.

Ohio

Board of Licensing

Ambalavanan, Sivanankaran - Renal Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.4148-SA
Date granted
01/08/2004
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
One Elizabeth Place #190, Dayton, OH 45408
ohiolicensing.org
ID 28678058
LAST UPDATED 2026-05-20 04:05:50 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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