License holder summary

NICHOLAS O PRUSACK, II is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for NICHOLAS O PRUSACK, II is ALLENTOWN PA 18103. This licensed professional license is not current. The license was granted 04/06/1989 and expired on 03/31/2007.

Pennsylvania

Department of State

NICHOLAS O PRUSACK, II
Dentistry - Anesthesia Permit - Unrestricted
License number
DA018393A
Date granted
04/06/1989
Date expires
03/31/2007
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Expired
Address
ALLENTOWN PA 18103
palicensing.org
ID 16539810
LAST UPDATED 2024-04-02 08:07:14 UTC

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