Michigan
Department of Licensing and Regulation
MIRIAM ELLEN PRUSSACK
Dentist, Hygienist, Dental Assistant - Dental Hygienist
License number
2902004455
Date granted
06/01/1977
Date expires
08/31/2001
Class
Dentist, Hygienist, Dental Assistant - Dental Hygienist
Status
Lapsed
Address
West Bloomfield, MI 48323
michiganlicensing.org
ID 25767003
LAST UPDATED 2026-06-07 00:31:32 UTC
LAST UPDATED 2026-06-07 00:31:32 UTC
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