PHILIP MATTHEW NISCO
Dental - Additional Office
California 4974 Delinquent
This California license was held by PHILIP MATTHEW NISCO. The license is no longer active. It was granted on 07/26/1991 and expired on 09/30/2014
LICENSE DETAILS
- License Number: 4974
- Category: Additional Office
- Status: Delinquent
- Date Granted: 07/26/1991 (almost 34 years ago)
- Expiry Date: 09/30/2014 (over 10 years ago)
LOCATIONS
A Address
28200 HWY 189, STE 02-250 LAKE ARROWHEAD CA 92352