License holder summary

LOUIS R PRUSACK is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for LOUIS R PRUSACK is SOUTHAMPTON PA 18966. This licensed professional license is not current. The license was granted 12/08/1989 and expired on 03/31/2011.

Pennsylvania

Department of State

LOUIS R PRUSACK
Dentistry - Anesthesia Permit - Restricted II
License number
DN016805A
Date granted
12/08/1989
Date expires
03/31/2011
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
SOUTHAMPTON PA 18966
palicensing.org
ID 16535146
LAST UPDATED 2024-03-18 14:43:34 UTC

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