License holder summary

TANYA STAVISKY is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for TANYA STAVISKY is Haddonfield NJ 08033. This licensed professional license is not current. The license was granted 08/13/1998 and expired on 06/30/2005.

Pennsylvania

Department of State

TANYA STAVISKY
Dentistry - Anesthesia Permit - Restricted II
License number
DN030614A
Date granted
08/13/1998
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
Haddonfield NJ 08033
palicensing.org
ID 16537526
LAST UPDATED 2024-04-22 23:13:44 UTC

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