License holder summary

MARK ANDREW NISTA is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for MARK ANDREW NISTA is EXPORT PA 15632. This licensed professional license is not current. The license was granted 11/04/1999 and expired on 06/30/2005.

Pennsylvania

Department of State

MARK ANDREW NISTA
Dentistry - Anesthesia Permit - Restricted II
License number
DN030346A
Date granted
11/04/1999
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
EXPORT PA 15632
palicensing.org
ID 16537471
LAST UPDATED 2026-04-05 09:48:09 UTC

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