License holder summary

Scott David Prusinski is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Scott David Prusinski is 1641 MAIN STREET, ELWOOD IN 46036. This licensed professional license is current. The license was granted 04/06/1987 and expired on 03/01/2016.

Indiana

Board of Licensing

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 22437760
LAST UPDATED 2021-01-11 18:44:27 UTC

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