Ohio
Board of Licensing
Hall, Nina-University Surgical Associates
Medical Board - 41.Pa Supervision Agreement
License number
41.5306-SA
Date granted
01/19/2005
Date expires
01/31/2007
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Lisa Russell, 30 E. Apple St., #5253, Dayton, OH 45409
ohiolicensing.org
ID 28684857
LAST UPDATED 2026-04-04 15:38:34 UTC
LAST UPDATED 2026-04-04 15:38:34 UTC