License holder summary

CHIZOBAM N IDAHOSA is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for CHIZOBAM N IDAHOSA is Philadelphia PA 19104. This licensed professional license is current. The license was granted 08/16/2011 and expired on 03/31/2015.

Pennsylvania

Department of State

CHIZOBAM N IDAHOSA
Dentistry - Anesthesia Permit - Restricted II
License number
DN001668
Date granted
08/16/2011
Date expires
03/31/2015
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
Philadelphia PA 19104
palicensing.org
ID 16538546
LAST UPDATED 2026-05-13 19:34:01 UTC

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