License holder summary

KAMBIZ TAVAKKOLI is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for KAMBIZ TAVAKKOLI is NORTH WALES PA 19454. This licensed professional license is not current. The license was granted 09/08/1998 and expired on 06/30/2005.

Pennsylvania

Department of State

KAMBIZ TAVAKKOLI
Dentistry - Anesthesia Permit - Restricted II
License number
DN030671A
Date granted
09/08/1998
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
NORTH WALES PA 19454
palicensing.org
ID 16537535
LAST UPDATED 2024-02-23 09:49:57 UTC

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