Scott David Prusinski

Controlled Substance Registration - Dentist

Indiana  12008815B   Active

This Indiana license is held by Scott David Prusinski. The license is currently active. It was granted on 04/06/1987 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12008815B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 04/06/1987 (about 38 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

1641 MAIN STREET, ELWOOD IN 46036