License holder summary

IYALLA ELVIS PETERSIDE is a Medicine - Temporary Written Agreement Approval licensed to practice in Pennsylvania. This licensed professional license is not current. The license was granted 05/01/2013 and expired on 08/29/2013.

Pennsylvania

Department of State

IYALLA ELVIS PETERSIDE
Medicine - Temporary Written Agreement Approval
License number
TMX000173
Date granted
05/01/2013
Date expires
08/29/2013
Class
Medicine - Temporary Written Agreement Approval
Status
Voided
palicensing.org
ID 16659868
LAST UPDATED 2026-04-17 22:33:44 UTC

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