License holder summary

POUYA HATAM-EBRAHIMI is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for POUYA HATAM-EBRAHIMI is Blue Bell PA 19422. This licensed professional license is current. The license was granted 08/24/2000 and expired on 03/31/2017.

Pennsylvania

Department of State

POUYA HATAM-EBRAHIMI
Dentistry - Anesthesia Permit - Restricted II
License number
DN029503A
Date granted
08/24/2000
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
Blue Bell PA 19422
palicensing.org
ID 16537287
LAST UPDATED 2024-02-21 21:52:23 UTC

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