ROBERT WILLIAM FORNALCZYK

Dentistry - Anesthesia Permit - Restricted II

Pennsylvania  DN021397A   Active

This Pennsylvania license is held by ROBERT WILLIAM FORNALCZYK. The license is currently active. It was granted on 01/05/1990 and expired on 03/31/2017

LICENSE DETAILS

  • License Number: DN021397A
  • Category: Anesthesia Permit-Restricted II
  • Status: Active
  • Date Granted: 01/05/1990 (over 35 years ago)
  • Expiry Date: 03/31/2017 (about 8 years ago)

LOCATIONS

A Address

Butler PA 16002