Indiana
Professional Licensing Agency
Scott David Prusinski
Controlled Substance Registration - Dentist
License number
12008815B
Date granted
04/06/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1641 MAIN STREET, ELWOOD IN 46036
indianalicensing.org
ID 5091231
LAST UPDATED 2024-01-29 03:19:26 UTC
LAST UPDATED 2024-01-29 03:19:26 UTC
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