License holder summary

Piovesan, Nathan-University Surgical Associates is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Piovesan, Nathan-University Surgical Associates 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 01/31/2007.

Ohio

Board of Licensing

Piovesan, Nathan-University Surgical Associates
Medical Board - 41.Pa Supervision Agreement
License number
41.5307-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 28684858
LAST UPDATED 2026-05-11 06:12:46 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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