License holder summary

PHILLIP NICHOLAS RUSSO is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for PHILLIP NICHOLAS RUSSO is Murrysville PA 15668. This licensed professional license is not current. The license was granted 03/17/1989 and expired on 03/31/2015.

Pennsylvania

Department of State

PHILLIP NICHOLAS RUSSO
Dentistry - Anesthesia Permit - Restricted II
License number
DN026260A
Date granted
03/17/1989
Date expires
03/31/2015
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
Murrysville PA 15668
palicensing.org
ID 16536658
LAST UPDATED 2026-03-09 16:49:58 UTC

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