License holder summary

NICHOLAS J CIVILLICO is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for NICHOLAS J CIVILLICO is UPPER DARBY PA 19082. This licensed professional license is not current. The license was granted 01/17/2002 and expired on 03/31/2011.

Pennsylvania

Department of State

NICHOLAS J CIVILLICO
Dentistry - Anesthesia Permit - Restricted II
License number
DN000540
Date granted
01/17/2002
Date expires
03/31/2011
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
UPPER DARBY PA 19082
palicensing.org
ID 16535525
LAST UPDATED 2024-05-11 02:22:54 UTC

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