License holder summary

ISAAC DATIKASHVILI is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for ISAAC DATIKASHVILI is Philadelphia PA 19116. This licensed professional license is not current. The license was granted 06/16/2005 and expired on 03/31/2007.

Pennsylvania

Department of State

ISAAC DATIKASHVILI
Dentistry - Anesthesia Permit - Restricted II
License number
DN000939
Date granted
06/16/2005
Date expires
03/31/2007
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
Philadelphia PA 19116
palicensing.org
ID 16538039
LAST UPDATED 2024-04-24 20:43:30 UTC

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