License holder summary

ELENA STAVISKY is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for ELENA STAVISKY is Philadelphia PA 19106. This licensed professional license is not current. The license was granted 07/25/2003 and expired on 06/30/2005.

Pennsylvania

Department of State

ELENA STAVISKY
Dentistry - Anesthesia Permit - Restricted I
License number
DP000561
Date granted
07/25/2003
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Inactive
Address
Philadelphia PA 19106
palicensing.org
ID 16534101
LAST UPDATED 2026-03-21 18:43:11 UTC

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