License holder summary

EVISA PESHTANI is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for EVISA PESHTANI is Philadelphia PA 19115. This licensed professional license is current. The license was granted 10/22/2010 and expired on 12/31/2016.

Pennsylvania

Department of State

EVISA PESHTANI
Medical Physician Assistant
License number
MA054715
Date granted
10/22/2010
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Philadelphia PA 19115
palicensing.org
ID 16639568
LAST UPDATED 2026-05-23 17:55:29 UTC

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