License holder summary

PRUTIANOV , SUSANA is a Department Of Health - Pharmacy Technician licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 06/23/2005 and expired on 06/30/2013.

Department of Health

Board of Medical Examiners

PRUTIANOV , SUSANA
Department Of Health - Pharmacy Technician
License number
24058
Date granted
06/23/2005
Date expires
06/30/2013
Class
Department Of Health - Pharmacy Technician
Status
Expired
Address
medicaltn.com
ID 42304921
LAST UPDATED 2026-05-17 12:15:02 UTC

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