License holder summary

TISHA ANN PRUSAK is a Nurse Registered & Licensed Practical - Nurse Anesthetist licensed to practice in Michigan. The address on file for TISHA ANN PRUSAK is Belleville, MI 481111681. This licensed professional license is current. The license was granted 04/22/2003 and expired on 03/31/2015.

Michigan

Department of Licensing and Regulation

TISHA ANN PRUSAK
Nurse Registered & Licensed Practical - Nurse Anesthetist
License number
4704207329
Date granted
04/22/2003
Date expires
03/31/2015
Class
Nurse Registered & Licensed Practical - Nurse Anesthetist
Status
Active
Address
Belleville, MI 481111681
michiganlicensing.org
ID 25854174
LAST UPDATED 2024-04-12 22:05:40 UTC

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