JOHN W PRUITT DDS - Dentist License in Indiana | # 019021856

JOHN W PRUITT DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021856

License Status

INACTIVE

Business

N

First Name

JOHN W

Last Name

PRUITT

Suffix

DDS

Business Name

JOHN W PRUITT DDS

Original Issue Date

11/15/1989

Effective Date

11/15/1989

Expiration Date

09/30/1998

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005