NICHOLAS O PRUSACK, II

Dentistry - Temporary Anesthesia Permit - Unrestricted

Pennsylvania  TDA000215   Voided

This Pennsylvania license was held by NICHOLAS O PRUSACK, II. The license is no longer active. It was granted on 06/11/2005 and expired on 03/31/2006

LICENSE DETAILS

  • License Number: TDA000215
  • Category: Temporary Anesthesia Permit-Unrestricted
  • Status: Voided
  • Date Granted: 06/11/2005 (almost 19 years ago)
  • Expiry Date: 03/31/2006 (about 18 years ago)

LOCATIONS

A Address

ALLENTOWN PA 18103