License holder summary

NICOLE A RUSSOMANNO is a Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for NICOLE A RUSSOMANNO is WEST LONG BRANCH NJ 07764. This licensed professional license is current. The license was granted 09/30/2013 and expired on 03/31/2017.

Pennsylvania

Department of State

NICOLE A RUSSOMANNO
Expanded Function Dental Assistant
License number
DF004635
Date granted
09/30/2013
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
WEST LONG BRANCH NJ 07764
palicensing.org
ID 16558852
LAST UPDATED 2024-02-17 19:28:49 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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