License holder summary

Madison, Christopher-University Surgical Associate is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Madison, Christopher-University Surgical Associate is Lisa Russell, 30 E. Apple St., #5253, Dayton, OH 45409. This licensed professional license is not current. The license was granted 01/19/2005 and expired on 01/31/2009.

Ohio

Board of Licensing

Madison, Christopher-University Surgical Associate
Medical Board - 41.Pa Supervision Agreement
License number
41.5304-SA
Date granted
01/19/2005
Date expires
01/31/2009
Class
Medical Board - 41.Pa Supervision Agreement
Status
Inactive
Address
Lisa Russell, 30 E. Apple St., #5253, Dayton, OH 45409
ohiolicensing.org
ID 28684853
LAST UPDATED 2024-05-08 06:53:18 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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