License holder summary

THADDEUS JOHN RUSIECKI is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for THADDEUS JOHN RUSIECKI is Morgantown WV 26508. This licensed professional license is not current. The license was granted 02/26/2004 and expired on 06/30/2005.

Pennsylvania

Department of State

THADDEUS JOHN RUSIECKI
Dentistry - Anesthesia Permit - Unrestricted
License number
DA031581
Date granted
02/26/2004
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Inactive
Address
Morgantown WV 26508
palicensing.org
ID 16539459
LAST UPDATED 2024-03-29 06:37:39 UTC

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